Application

200 HR RYT 2021 APPLICATION

Please fill out application form below:

* Indicates required field

Name *

First

Last

Phone Number *

Emergency Contact *

Relationship to you *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you have any health issues or limitations? Please explain: *

Medical History/ are you currently taking any medications? *

How long have you been practicing yoga? *

What does your current practice consist of? How many times a week and for how long? *

How has practicing Yoga affected you & your relationship to the world around you? *

What is the current focus of your practice? *

What does yoga mean to you? *

What qualities do you think make a good yoga teacher? *

Who has influenced you on your Yoga path, & why have you chosen this training? *

What would you like to achieve from this experience? *

How did you hear about our program? Did someone refer you? *

Please provide any other information you would like to share with us. *

Submit

Please click here for program deposit:

Training is hosted by Love Integration & Come Together Yoga
Call: 516-548-7373 (Love Integration)
CLL: 516-761-6633 (Come Together Yoga)