EmailMe Form - SYS 200 Hr Teacher Training Agreement

I am applying for the Source Yoga Teacher Training Program beginning *

MM / DD / YYYY

Name *

First Last

Address *

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

Phone *

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

Email *

Emergency Contact *

How many years have you practiced yoga? *

Do you have a regular yoga practice? *

Yes

No

How frequent is your current practice? *

Daily

>3 times week

<3 times week

Current Teacher's Name:

Yoga Style/Tradition Practiced:

Do you have a regular meditation practice? *

Yes

No

Past Yoga Experience, Styles or Traditions:

How did you find out about Source Yoga Studio's teacher training program?

I agree to pay each level of $233.25 plus GST on or before the first day of classes of each level.Once training has commenced, there are no refunds. *

Yes

No

If "No", please state what arrangements have been made with Dillon Cherrett.

Refund Policy
$500.00 with application is non-refundable.

If you are accepted into the program and are unable to participate, you will be refunded your full tuition, minus the deposit to reserve your space. Notice must be received in writing no later than 30 days prior to the start of the program.

After the start of the program, there are no refunds. *

Agree

Disagree

I have read and understand all the above criteria for certification as a Yoga Teacher through the Source Yoga Teacher Training program. *

Yes

No