Mountain Soul Yoga Teacher Training Application
Please fill out all fields. Upon acceptance, you will receive a welcome letter and invoice for payment. Payment within one week of acceptance is required to hold your space. You may pay a $500 non-refundable deposit, with the balance due February 1, 2020, or the full amount. If you choose to pay the full amount and cancel prior to February 1, you will be refunded your tuition minus $500. If you cancel after February 1, you will forfeit your entire tuition. Attendance is required at all sessions for certification. Namaste.
First & Last Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Emergency Contact: Name and Phone Number *
Your answer
How long have you been practicing yoga? *
Your answer
Who are your primary teachers? *
Your answer
What style(s) of yoga have you been practicing? *
Your answer
Please list any other trainings or relevant workshops you have taken:
Your answer
What are your primary reasons for choosing this training? *
Your answer
Do you have any medical conditions, learning diabilities or injuries that might impact your ability to take part in this training? *
Your answer
This training involves lecture, yoga practice and practice teaching, and requires your ability and willingness to take part in all components. Do you agree? *
Waiver & release of liability *
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in this activity. In addition, I will make the teacher and any assistants aware of any medical conditions or physical limitations before class. I will also inform the teacher and any assistants if I do not desire to receive hands-on assists from them. If I am pregnant, become pregnant or I am postnatal or postsurgical, my signature verifies that I have my physician's approval to participate. I understand the risks associated with participation in yoga-related activities and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.I specifically agree to indemnify and hold harmless Mountain Soul Yoga and its teachers as to any loss, cost, claim, injury, damage or liability, sustained or incurred by participating in the classes, or through my use of the facilities or equipment of Mountain Soul Yoga which is caused by an act or omission, whether negligent, intentional or otherwise, of an employee, representative, or agent of Mountain Soul Yoga. I, my heirs, or legal representative forever release waive, discharge and covenant not to sue Mountain Soul Yoga nor its teachers for any injury or death caused by my participation in the yoga class.I am aware that Mountain Soul Yoga uses public yoga classes as an integral part its educational programs and that photographs and/or video recordings may be taken during public classes. I grant to Mountain Soul Yoga the absolute and irrevocable right and unrestricted permission concerning any photographs or videos taken of me or in which I may be included with others, to use, reuse,publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alterationÍž and to use my name in connection with any use. My signature below constitutes my full understanding and acceptance of this waiver and release.
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