Yoga Teacher Training Form

First Name *

Last Name *

Address *

Phone Number

Email *

Emergency Contact

Gender

Male

Female

Please list any medical conditions, physical limitations, or injuries we should know about

Describe your experience with yoga

Where do you practice and with whom?

Describe your current yoga practice.

How often, types of classes, home practice.

What is your motivation and interest in taking the Greenwood Teacher Training program?

Do you practice meditation and/or pranayama daily? Please provide a brief description of your practice.

Are you interested in teaching yoga or are you considering this YTT for personal, self exploration?

Are you currently teaching yoga or any other mind/body discipline?

Personal commitment to your success

I will show up fully

I will be present and prompt for each session

I will practice kindness towards others and myself

I will be honest with myself, so that I can be honest with others

I will complete all required assignments

I will leave expectations and judgements at the door!

I will open myself up to this experience and grow

I will behave in a respectful, professional manner at all times

I will improve my life and the lives of others

Members

$2,750 if registered by November 19

$3,050 if registered after November 19

Guests

$2,950 if registered by November 19

$3,250 if registered after November 19

A non-refundable deposit of $500 is due with your registration.

Method of payment

Use credit card on file

Have us call for credit card info

eSignature *

I understand that I am participating in this training at my own risk. I release the Club Greenwood Yoga Teaching Staff and Club Greenwood from any and all responsibility relating to any injury that may be incurred during this training. I understand that if I fulfill all the requirements of this training. I will receive a certificate of completion that qualifies me for Yoga Alliance 200 hour RYT certification. Completion of this program does not guarantee me employment at Club Greenwood Yoga. I declare that the information provided in this application is true to the best of my knowledge. By clicking Send Request, I authorize the Club Greenwood to contact me (1) by phone call or text message at the phone number provided above, and/or (2) by e-mail at the e-mail address provided above.

Date *