Name
[text* Name]
Address
[textarea* Address]
Phone
[text* Phone]
Phone (Work)
[text* WorkPhone]
Email
[email* Email]
Birthdate
[text* Birthdate]
For how many years have you practiced Yoga?
[text* Answer1]
List your yoga instructors. Include a recommendation from one teacher with his / her phone number.
[textarea* Answer2]
Are you presently teaching Yoga?
If yes, how long have you been teaching and how often do you teach?
[textarea* Answer3]
What aspects of Yoga most interest you or are part of your practice?
[textarea* Answer4]
Why do you want to take this Hatha Yoga Teacher Training Program?
[textarea* Answer5]
What do you expect to learn?
[textarea* Answer6]
Do you currently have the time to complete all the requirements of this program?
[radio Answer7 “Yes” “No”]
Do you currently have the finances available to fund your program?
[radio Answer8 “Yes” “No”]
Is there a history of physical or mental conditions that will affect your participation in this program?
[textarea* Answer9]
[acceptance Acceptance] 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.
[submit “Submit Application”]
Teacher Training Application
no-reply@breatheyoga.ca
Name: [Name]
Address: [Address]
Phone: [Phone]
Phone (Work): [WorkPhone]
Email: [Email]
Birthdate: [Birthdate]
For how many years have you practiced Yoga? :
[Answer1]
List your yoga instructors. Include a recommendation from one teacher with his / her phone number.
[Answer2]
Are you presently teaching Yoga? If yes, how long have you been teaching and how often do you teach?
[Answer3]
What aspects of Yoga most interest you or are part of your practice?
[Answer4]
Why do you want to take this Hatha Yoga Teacher Training Program?
[Answer5]
What do you expect to learn?
[Answer6]
Do you currently have the time to complete all the requirements of this program?
[Answer7]
Do you currently have the finances available to fund your program?
[Answer8]
Is there a history of physical or mental conditions that will affect your participation in this program?
[Answer9]
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.
[Acceptance]
angie@breatheyoga.ca
[your-subject]
[your-name] <[your-email]>
Message body:
[your-message]
—
This mail is sent via contact form on Breathe Yoga http://breatheyoga.ca
[your-email]
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