Registration - Holistic Yoga School

Holistic Yoga School

Holistic Yoga School

970-412-4114 · Info@holisticyogaschool.com

About Holistic Yoga School
Weekly Yoga Classes
Workshops
Retreats
Teacher Training Programs

Teacher Training - Course Registration Form

Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Emergency Contact Name*
First Last
Emergency Contact Phone*
Course Information
Choose Course*
Pre-requisite 200hr Certification*
When registering for the 300hr certification program, the required pre-requisite is completion of the 200hr program. Please upload your certification here.
Accepted file types: pdf, png, jpg.
Accommodations Package at Wilder-Nest Retreat*
Would you like to purchase the book package for $75?*
Will you be buying the optional meal package? ($700 Total)*
Would you like to purchase the book package for $65?*
Includes: Yoga Sutras, Yoga Anatomy, and Ashtanga Yoga Practice Manual
Please upload a copy of your 200hr Certificate
A 200-Hour Yoga Teacher Training Certificate is required as a pre-requisite to sign up for this course. If you do not have a copy of your certificate, please enter the following info as it relates to your 200-Hour Yoga Teacher Certification: Name of School, Location of School, Graduation Date, Contact info for verification (phone number or email)
Accepted file types: pdf, jpg.
200hr Certification Information
Tell Us About You
How did you hear about us? (Please be specific)*
Yoga Interest/Experience*
Any other training or experience that you think may be relevant
Tell us about your physical health. Please note any major illnesses, surgeries, injuries or physical conditions we should know about. Please indicate how any condition currently affects you on a day to day basis, or if it affects your yoga practice.*
Are you currently taking any medications?
Emotional & Mental Health*
Describe your lifestyle (i.e. diet, health, exercise practices and/or spirituality.
Any dietary restrictions or allergies? If so, please list.
Do you have any felony convictions?*
- Yes
- No
If yes, please explain.*
I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher.*
- I understand
I acknowledge that it is my responsibility to consult with a physician regarding any injury or condition that may affect my participation in any yoga classes or workshops. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. I affirm that I alone am responsible to decide whether to practice yoga. I agree not to hold Holistic Yoga School or any of its affiliates liable for any injury or damages related to my participation in class, workshop, training, retreat or other activity.*
- I acknowledge
I understand that I am not eligible to receive my certificate until I have completed all course requirements and my program cost has been paid in full. **
- I understand
I have read and understand the TTC Reservation & Cancellation Policy (I have read and understand the TTC Reservation & Cancellation Policy (http://holisticyogaschool.com/ttc-reservation-cancellation-policy/)*
- I acknowledge
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 Holistic Yoga School as soon as possible hereof. I understand and agree that any and all information I submit via this Online Application Form will be sent to the host studio, Holistic Yoga School and myself for the purposes of registration and application for the training in question. In addition, I confirm that I have read, understood and agreed to the payment terms.*
- I agree
I release and authorize HYS to utilize my photos or testimonials in any media, website, etc. promotionals.*
- I agree
By participating in any Holistic Yoga School program, I am agreeing to the terms above.*
- I agree
I will be held to the HYS policies regarding successful course completion including attendance, payment and behavior standards. Inability to follow the HYS policies may result in termination of training without refund.*
- I understand
Additional Information we should know.
Email
This field is for validation purposes and should be left unchanged.

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