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2023 Unplug & Be Mindful Yoga: 200 Hour Yoga Teacher Training Application
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Applicant Name
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Address
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Email
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Phone Number
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Emergency Contact
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Relationship
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Emergency Contact Phone
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How did you hear about Unplug & Be Mindful Yoga’s Teacher Training Program?
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What is the primary reason you are interested in Yoga Teacher Training? (check all that apply)
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Occupation: To Teach Yoga
Personal Growth
Both
Not Sure
Other:
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How long have you been practicing yoga?
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Do you practice pranayama?
Yes
No
Not Sure
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Do you have a regular meditation practice?
Yes
No
Other:
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What styles of yogasana do you practice?
Vinyasa
Hatha
Yin
Restorative
Power Yoga
Ashtanga
Bikram
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Other:
Please describe how you found yoga (or yoga found you):
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Is this your first Yoga Teacher Training? Have you taken any other yoga certification programs?
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No
Other:
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Do you have any medical conditions such as a recent injury that we need to be aware of? Feel free to discuss this with teacher in person.
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Is there anything else that you would like us to know about you?
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Please indicate which program you are interested in attending?
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September 2023- May 2024 Thursday Evenings 6:00pm-9:30pm
May 2023- December 2023 Thursday Evenings 6:00pm-9:30pm
May 2023 -December 2023 Monday's 10:30am-1:30pm
September 2023- May 2024 Monday's 10:30am-1:30pm
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