EmailMe Form - Styles Yoga Teacher Training

Which Training Are You Applying For? *

Fall / Winter

Winter / Spring

How did you hear about our program?

Name

First Last

Phone

### - ### - ####

Email

Address

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

Gender

Female

Male

Non-Binary

Prefer not to say

Birthday

MM / DD / YYYY

Occupation

Emergency Contact
(Name & Phone Number)

Yoga Experience

Please list your previous yoga experience.
(How long, which types, trainings/workshops)

Source Of Interest

Why are you interested in this particular training?

Expectations

What do you want to achieve from this training? Where do you see yourself after completing this training?

Physical Health & Conditions

Tell us about your physical health. Do you have any current or past injuries, major illnesses, or physical limitation or conditions?

Lifestyle practices

Please describe your current lifestyle practices. (Health practices, exercise practices, beliefs, etc)

Additional Information

Is there anything else you would like to tell us about yourself? Please include any training dates you will not be able to attend.

Tuition & Deposit Agreement

Early Bird - 30+ Days Before Start Date - $2,500

Late Bird - Within 30 Days of Start Date - $2,600

Payment Plan - $2,700

I have been approved for the BIPOC scholarship.

I agree to pay the total cost of the tuition as selected above.

I agree that if I choose to pay via the payment plan that I am responsible for the entire cost of training even if I decide to no longer attend future training weekends. If I drop out of training after weekend one, I am responsible for the entire cost of training regardless.

All deposits and payments are nonrefundable but are transferable to a future Styles Yoga 200hr Training.

Signature

I agree

I am the individual given above. I confirm that all information provided herein is true, accurate and up to date. Further, I agree that to the extent that there are any changes to the information provided above that may affect my ability to attend the Teacher Training, I shall inform Styles Yoga as soon as possible hereof. In addition, I confirm that I have read, understood and agreed to the payment and refund terms.