RG Yoga Teacher Training Application

Date*

Date Format: MM slash DD slash YYYY

Name

First Last

Address

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

Email

Phone*

Emergency Contact Name*

First Last

Relationship*

Emergency Contact Phone*

Questionnaire

What Teacher Training Session are you applying for?

How long have you been practicing yoga and what type of yoga have you practiced?

Have you had any prior or relevant training? (i.e. Physical Therapy, Massage School, etc.)

Please list the teachers you have practiced with, for how long and how they have influenced your practice.

Do you have a home practice? If so, what does it consist of?

What is your current occupation?

Do you have any injuries or illnesses we should know about prior to beginning this program? Please list all health related issues.

Have you taught yoga before? If so, please tell us when/where/what your experience has been.

Do you have a meditation practice? If so, what style of meditation do you practice, how often and for how long?

What is calling you to do a teacher training at this time?

Name

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