Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Cell *

(###)

###

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I have completed an accredited 200RYT.

Yes

No

I am looking to... *

become a yoga teacher

become a better yoga teacher

use yoga techniques in my current job

deepen my own experience of yoga

be a life-long learner

Time commitment *

I am aware of the time commitment, both of the weekend schedule for training and the time outside of class. I understand that there will be practice, reading, some writing, and much contemplation that will take place outside of our scheduled classes.

I agree to commit the time to this program, to make up any missed dates with the help of my instructor, and to participate as much as I am able.

Further, I understand that if attendance is not regular or made up, and course work is not completed, I will not receive my certificate or be eligible to apply to Yoga Alliance for my RYT 300.