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Class Chant Sheet
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Course (please select)
Yoga Teacher Training Course, 200hrs, Level 1
Shekinashram, Glastonbury, Somerset, UK
15th Sept '17 - 20th May '18
Spiritual Name (if any)
Date of Birth (MM/DD/YYYY)
Home Address (please include House Number, Street, Town, Post Code and Country
Contact Telephone Number (please include your country dialing code)
Do you have a good understanding of English?
Where did you hear about the course?
Medical History (please clearly inform us of any medical conditions, injuries or disabilities, including any medication you are taking)
Please provide an outline of how you came to practice yoga and a summary of your yoga practice and study to date. Please include any yoga teaching experience (if any) including any qualifications you may have.
Have you ever attended a Sivananda yoga class?
Please share with us what you would like to receive from the course and why you would like to 'teach' yoga
In just a few words, what do you feel you can contribute to the group?
£352 - 16 nights (@ £22 per night) in 5 bed shared unisex cabin - includes breakfast - limited places
£528 - 16 nights (@£33 per night) in twin or triple shared room in the house - includes breakfast
- £2,200. Course fee's must be paid in full before the course starts. Please see terms and conditions
Method of Payment
Paypal (see additional charges)
If you need to pay in instalments please let us know how much you would like to pay each month. Full payment is required before the course starts.
Emergency Contact – Name and Relationship to you
Emergency Contact Telephone
Emergency Contact Email address
Here's a little space if there is anything further you would like to share...
If we have not met you in person, please upload a photo of yourself. If the file is bigger than 20MB it won't upload. In that case please attach a photo seperately and send by email with your name as a reference. We look forward to seeing you!
Max file size: 20MB
As a student of your training course, I consent to my contact details (name, email and phone number) being passed onto our partners, Yoga Alliance Professionals, so they can contact me directly and invite me to register as a Trainee and Teacher. I understand that I have the option of opting out of this registration process.
Yes I am happy for you to give my email and phone number to Yoga Alliance Professionals to register as a Trainee Teacher
No. I would like to opt out of having my contact details given to Yoga Alliance Professionals
I have read and accept the terms and conditions of the course. Please sign (or print your name here)
Thank you for taking the time to complete your application form. Please press the send button and congratulate yourself on making beautiful positive and conscious life choices!! We will be in touch shortly.
Blessings & Love
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