APPLICATION
2018 YOGA LEARNING INTENSIVE +
TEACHER TRAINING

The Yoga Loft’s second 200 Hour Yoga Teacher Training program will take place April to July 2018, led by Vancouver’s Todd Inouye of Yoga Pod Body Mind and
Soul Inc/Sri-Life.

This year we are again formatting the training as a series of three Immersions followed by the two Teacher Training segments. Attendees can commit to the entire program OR begin with the Immersions as a way to build deep personal knowledge of yoga practice. A comprehensive and inspiring program and the mentorship and support of your community await you.

All applicants to the Program- including those who will attend only the immersions- must first fill out a one-timeapplication form to be completed and submitted for review and consideration. The form includes past history, experience, physical considerations andlevel of student qualification. Thank you for taking the time to share a little bit about yourself.

APPLICATION INSTRUCTIONS

The application process includes completing this questionnaire and submitting it to the Marcia Wilson at the Yoga Loft AND submitting accompanying payment of $100+GST .

Please note that $50 of the application fee will be applied to the price of your training ifyou are accepted into the program. Applications will only be reviewed upon receipt of the $100 non-refundable application fee.

To submit your application form: Complete, sign and drop off at the Yoga Loft (attention Marcia Wilson) OR preferably email a scanned copy to Feel free to use additional paper to add more information and details as needed.

To pay your application fee: follow the links on to the 2018 yoga Learning and Intensive Program information page and follow the links there OR pay in studio.You will be notified by email of your status in the training within one week after both your application and application feehave been received. If you have not received confirmation by email, please us at

YOUR DETAILS

* 1. Date of Application

* 2. Name

* 3. Email Address

* 4. Primary Phone Number 5. Secondary Phone Number

* 6. Street Address

* 7. City

* 8. Province/State

* 9. Country

* 10. Postal/Zip Code

* 11. Emergency Contact Name

* 12. Emergency Contact Phone Number

* 13. Current Prescribed Medication(s)

* 14. Current Medical / Mental Conditions

* 15. I have been practicing Hatha Yoga for the following number of years:

* 16. The primary Hatha Yoga style I practice is:

* 17. The reason I have been practicing Hatha (physical) Yoga is:

* 18. My level of understanding of Hatha Yoga's postural alignments is:
Moderate Strong Very Strong Other(please specify)

* 19. My primary Yoga teacher(s) is/are:

* 20. Primary Teacher Contact(s):
email:
phone:

* 21. Do you teach yoga?
Yes No Other(please specify)

* 22. What is your level of asana practice?
Beginner Intermediate Advanced Other (please specify)

Please Describe

* 23. Do you have any major physical limitation or injuries? If yes, please give a brief description.
Yes No

* 24. Why do you want to attend this program? Either the Immersion as a learning opportunity OR the entire program which will allow you to teach yoga?

If you already teach, why do you?

* 25. Why do you want to do this particular teacher training?

* 26. What is the most important thing you have ever learned in yoga class?

* 27. What is the most challenging thing you have faced in your life, and what do you think was the big lesson foryou in that challenge?

* 28. Does the teacher training schedule look like it will be:
Too easy Too Challenging Just Right
Why?

* 29. What are you most excited to study in this training, and why?

* 30. Please make any additional comments here

PAYMENT METHODS FOR TEACHER TRAINING

Please see the “Program Investment” information sheet regarding your investment for the program and our refund policy.
I will pay by (check one):

Paying All At Once
____ Full Payment for all 5 segments (for full teacher training) OR
____ Full Payment all 3 segments (Immersion only) OR

OR

Multiple Part Payment Program
_____ Payment for 5 Segment 200 Hour TT spread out over 3 payments
_____ Payment for 3 Segment Immersion spread out over 3 payments
*Please note this indicates you will be spreading payment out over 3 payments, and that you will pay a $150 administration fee with the first payment.
____ One Session at a Time- pay for one session and then decide if moving forward sequentially*Please note this indicates you will be spreading payment out over 5 payments, and that you will pay a higher rate that reflects this flexibility

REFUND POLICY AGREEMENT

The $100 application fee is non-refundable.
The Program follows theseregulations for cancellation and refunds:

  • There is no refund for cancellation made 14 days or less prior to the beginning of thecourse.
  • Exceptions to this rule may be made if cancellation is necessary due to injury or illness with doctor's orders and a doctor’s note that confirms the need to discontinue.
  • There are no refunds under any circumstances once a course has started.
  • There is a $50 administration fee for allcancellations ($50 of your payment will be retained)
  • Administration fees are non refundable- if you choose the 3 part payment plan, the $150 non- refundable fee is retained if you choose to exit the program.

FINAL NOTES

FINAL DEADLINE for application submission: April 1, 2018
Application must be accompanied by payment of the $100 application fee.

COMMITMENT

I agree to the above conditions of payment and refund policy

Name ______

Signature ______

Date ______

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