EmailMe Form - Application - Approved Professional Development

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Your current life work or school.

Your Birthday

What is your intention for participating in the Yoga Therapy Course?

Do you have a regular home yoga practice? How often? Please describe.

Do you have a 200 hours Yoga Teacher Training Certificate or the equivalent? Please describe.

Are you currently working as a Yoga Therapist or in the field of health and wellness? If so, please describe.

Do you have special interest in the Yoga Therapy and health and wellness field - i.e. children, elders, specific injuries or disease, PTSD, addiction, neuroscience, psychological issues, social work, etc. Please describe.

Do you have formal training or experience in the above areas? Please describe.

Are you seeking continuing education credits from this course or planning to attend for personal education and transformation?

Continuing Education

Personal

Do you have additional formal training or experience in Yoga Philosophy, Sanskrit, Anatomy & Physiology, Massage, etc. Please describe.

Do you meditate? Practice Pranayama? Please describe.

Have you ever attended a yoga retreat or weekend workshop immersion? If so, where and what was the subject matter. Please describe.