YTT Application 2017
Name:
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Address:
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Phone:
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Preferred Email:
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Age:
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Marital Status:
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Occupation:
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Are you under a physicians care:
If yes, what for
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Diabetes
Epilepsy
Are you currently under the care of a mental health provider?
Please list any current medications you are taking
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Have you ever been hospitalized?
What is your past yoga experience?
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What is your current yoga practice? How often? Level of intensity? Style?
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INTENTION SETTING: Please take a moment to write down what you want out of this Teacher Training. There is a power in writing down goals, sharing them and then referring to them often. What is your intention for taking this program?
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What are your biggest challenges in life?
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Describe your perfect life:
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Is there anything else you would like us to know?
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Cost: 2 Payment Options: (Please choose one)
*By checking the box: I agree to pay the amount designated for the payment option selected above. I agree that if my application is accepted, I will immediately be charged $500 for deposit. If I have selected Full Pay plan, I will be charged $2300 by/on August 1st. If I have selected the the payment plan, I agree that 5 consecutive monthly payments of $500 + will be charged on the 15th of each month, beginning on the 15th of September thru January following acceptance of my application.
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Thank you so much for your application—we look forward to receiving it! Namaste!
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