Bright From The Heart/ Your Yoga Louisville - Yoga Teacher Training Application

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Contact Information

Name
Street Address
City ST ZIP Code
Home or Cell Phone
Work Phone
E-Mail Address

If you need additional space, use a separate sheet of paper and submit with application.

1. How many years have you been practicing yoga?

2. How many times per week do you practice yoga?

3. What style of yoga do you typically practice?

4. What does the term yoga mean to you?

5. What does the term yogic living mean to you?

6. Do you practice pranayama and/or meditation?

7. Do you currently teach yoga?

8. If you answered yes to #7, for how long have you been teaching? Where do you teach? What style do you teach?

9. Do you currently have any allergies (food and/or environmental), health issues, physical limitations, current injuries and/or chronic illnesses we should be aware of?

10. What are other hobbies/interests do you have outside of your yoga practice?

11. What are your expectations for this training program?

12. Why are you interested in this particular training program?

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous work, previous yoga trainings or through other activities.

Person to Notify in Case of Emergency

Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a teacher trainee, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed)
Signature
Date

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in joining our Bright From The Heart/Your Yoga Louisville Yoga Teacher Training Program. Send completed and signed application to , and make payment online through PunchPass. Upon submission, deposit, and review of this application, we will notify you via mail as to your approval. Please allow 2-3 weeks for response.

For questions contact:

Tiffany Bright

502-851-7021