Registration - Holistic Yoga School and Studio

Holistic Yoga School and Studio

Holistic Yoga School and Studio

970-412-4114 · Info@holisticyogaschool.com

About Holistic Yoga
Yoga Classes
Teacher Training Programs
- June 2020 200-hour Intensive Program
Workshops & Continuing Ed

Teacher Training - Course Registration Form

Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Emergency Contact Name*
First Last
Emergency Contact Phone*
Course Information
Choose Course*
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)*
Please upload a copy of your 200hr Certificate
Accepted file types: pdf, jpg.
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)
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 such condition currently affects you on a day to day basis.*
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, International, 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
While we acknowledge that you may have disclosed special health and personal information, HYS is unable to provide special treatment for any conditions listed. You will be held to the HYS policies regarding attendance, payment and behavior standards. Inability to follow the HYS policies may result in termination of your training without refund.*
- I understand
Additional Information we should know.
Phone
This field is for validation purposes and should be left unchanged.

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