Name

Address

Phone

Phone (Work)

Email

Birthdate

To qualify for the YA Hatha Yoga Teacher Training Program, applicant must be at 18 years old, and provide evidence of at least 2 years recent formal classes in hatha yoga.

For how many years have you practiced Yoga?

List your yoga instructors. Include a recommendation from one teacher with his / her phone number.

Are you presently teaching Yoga?
If yes, how long have you been teaching and how often do you teach?

What aspects of Yoga most interest you or are part of your practice?

Why do you want to take this Hatha Yoga Teacher Training Program?

What do you expect to learn?

Do you currently have the time to complete all the requirements of this program?
 Yes No

Do you currently have the finances available to fund your program?
 Yes No

Is there a history of physical or mental conditions that will affect your participation in this program?

By checking the box, I certify that the answers on this application are correct and true to the best of my knowledge. I will make the necessary time and funds available to complete the requirements of this program.