Yoga Teacher Training Form

First Name *

Last Name *

Address *

Phone Number

Email *

Emergency Contact

Gender

Male

Female

Non-Binary

Describe your experience with yoga.

Describe your current yoga practice.

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

What do you hope to get out of this training?

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

If you have any medical conditions, physical limitations, or injuries please contact Libby Barrett.

Tuition, Payments and Discounts
A non-refundable deposit of $500 is due with your registration.

By September 15, $750 off | $3,500 total

By October 15, $500 off | $3,750 total

By November 15, $250 off | $4,000 total

By December 15, Full tuition | $4,250 total

Employee 20% off (full price) | $3,400 total

Current 200-hour Yoga Alliance certified instructor $750 off (full price) | $3,500 total

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 *