The Integrated Heart | Registration Form
Full Name
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Email Address
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Phone Number
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Birth Date
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Why do you practice yoga? Please describe your current yoga practice (including home, public classes, retreats, workshops, and any other relevant context).
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Tell us a bit about your background. How long and with what frequency have you been studying yoga, meditation, and/or related practices?
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Do you have any previous experience teaching yoga or in yoga teacher training? If so, please describe in detail.
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Please list teachers or lineages that have influenced you, specifically those with whom you’ve spent the most time and by whom you feel most inspired.
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How do you most want to grow in life, and how would you describe your perspective on spirituality?
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Why this teacher training, and why now? What are your hopes for the experience?
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Is there anything else you'd like us to know about you?
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On Payments :: We aim to make this program affordable with flexible payment plan options. Would you like to pay in one, three, six, nine, or twelve monthly installments?
We are able to receive payment via PayPal, Venmo, or personal check. (Note: please add 8.3125% gross receipts tax). I will make payments via ...
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