Personal Information
By completing this registration, you acknowledge that you have read and understood the terms and conditions of the yoga teacher training program. You agree to adhere to the program requirements and guidelines as outlined by Theblkyogitribe 200hr Ytt, Birmingham, Al 35217.

Application Fee-$200 
Non Refundable, Non-Transferable

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Email *
All applicants are required to submit (2) Letters of recommendation along with a letter of intent to tribe200hr@gmail.com

Full Name

*
Date of Birth MM/DD/YYYY *
Gender *
Contact Email *
Contact Phone Number *
Mailing Address  *
Emergency Contact Name
*
Emergency Contact Phone Number  *
Relationship of Emergency Contact *
How long have you been practicing yoga?
*
Describe your yoga practice style (if any)
*
Have you completed any yoga teacher training before? If yes, please provide details
*
Do you have any existing medical conditions or injuries that could impact your participation in the training?
*
Are you currently taking any medications? Please specify
*
Do you have any dietary restrictions or allergies?
*
Why do you want to participate in this yoga teacher training?
*
What are your expectations for this training program?
*
Referral: (if none please type N/A) *
Any additional questions, comments, or concerns? *
Payment and Processing 
Application Fee-$200 
Non Refundable, Non-Transferable
All application fee's will be invoiced to the email on file within 72/hours
A copy of your responses will be emailed to the address you provided.
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