Yoga Teacher Training Registration Information
Please fill out this form to register for ChayaVeda's Yoga Teacher Training course.

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Email *
Name *
Occupation *
Address *
Home Phone *
Business Phone *
Cell Phone *
Please select how you would preferred to be contacted, if needed. *
Required
Date of Birth *
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Age *
How did you hear of our program or who were you referred by? *
Emergency Contact *
Emergency Contact's Phone Number *
What is your previous experience with yoga? *
Why are you interested in taking this program? *
What is your experience with stress management techniques or meditation? *
What is your current exercise/yoga program? *
What is your physical condition? Please list any medications you are taking. *
What do you foresee as being challenging for you, and how may we best support you? *
How do you foresee yourself integrating this training into your life? *
What do you expect to attain from taking this program? *
How often per day do you consume caffeine? *
How often per day do you consume alcohol? *
How often per day do you consume tobacco? *
How many hours of sleep do you get on a typical day? *
Program Information
Program hours: Fridays, Saturdays, and Sundays from 7:30 am -6:00 pm.
Program Dates: Starting January 2025, module dates forthcoming
Program Tuition
Program tuition includes the Integrative Yoga Therapy Teacher Training Manual and certificate of completion. You must attend all sessions and complete all evaluations to receive a certificate. Completion of this course provides the credentials for you to apply for Yoga Alliance registry.

Regular Tuition - $2,808
Early Bird thru April 25, 2021 - $2,675

For more information or additional discounted pricing for ChayaVeda Ayurveda & Yoga Immersion Students, please contact us.
Payment Methods
Payment Options:
Registration button on our website with credit card or PayPal
Check payable to Sharon Heller can be mailed to ChayaVeda Integrative Healing Arts Studio, 2641 NW 41st St. Suite E6 Gainesville, FL 32606
Venmo: Sharon Heller @ChayaVeda
Refund Policy
Refunds and withdrawals from the program are accepted through December 2024, minus a $75 processing fee.

Early bird discounts apply only for payment received in full by their respective due date. If you miss the early bird requirements, you will automatically be adjusted to the regular tuition rate.
Waiver, Policies, and Requirements
I understand that Yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask the teacher for support.
I will continue to breathe smoothly.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice Yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Chaya~Sharon Heller, ChayaVeda™ Integrative Healing Arts, our teaching venue or any of the instructors.

It is also understood that any illicit or sexually suggestive remarks or advances made by me will result in the immediate termination of my enrollment, and I will be liable for payment of the program in the full amount.
Contract
Please type your name and date below to indicate that you have read all of the above and agree to the terms and conditions of participation in the program.

Signature: *
Date: *
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A copy of your responses will be emailed to the address you provided.
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