50hr Roots, Elements & Nature 
Dates: 11th-16th June 2024
Venue: Retreat House, Welten, Austria
Contact us at info@lorrainetayloryoga.com / www.lorrainetayloryoga.com

All answers are strictly confidential and will not be shared with anyone else.
Thank you for sharing and taking the time to let us know a bit more about you.
Sign in to Google to save your progress. Learn more
First and Last Name *
Date Of Birth: *
MM
/
DD
/
YYYY
What are your pronouns? *
Email address *
Contact Number
Whats App phone number
Country & timezone *
How did you hear about the course? *
What do you hope to gain from the course? *
Describe your current yoga practice *
Are you a yoga teacher? *
Please provide the names of your principal teachers or schools.
If yes, where do you predominantly teach?
Clear selection
Do you suffer from any medical condition? Are you taking any medications?
 *
Are you currently experiencing any injuries? List all that you think are relevant including chronic and acute.
 *
Are there any special requirements that you require to attend the course? 

If yes, please outline below with as much information as you feel comfortable sharing.

Investment: 900 Euro Early Bird/950 Euro Full Price

Please make a deposit of 50% in order to book a spot on the training. Early Bird 450 Euro / Full Price 475 Euro.

You can pay the remaining 50% balance before the training starts.

- For bank transfer, please add 10 Euro to cover conversion rates:

BANK NAME: Wise (Euro Account)
BANK ADDRESS: Avenue Louise 54, Room S52
Brussels 1050 Belgium

BIC: TRWIBEB1XXX
IBAN: BE55 9672 1736 5444

Please email us at info@lorrainetayloryoga.com with your proof of payment for tracking.


 *
I have read and understood our Yoga Teacher Training terms and conditions, and will be fully responsible for you are responsible for your own health and wellbeing during the retreat.  Lorraine Taylor will not be held liable for any injuries or other medical or mental health problems that may occur, are sustained or aggravated during or after your time on this training. Our Terms and Conditions can be found here: 

https://www.lorrainetayloryoga.com/terms-conditions-2024
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lorraine Taylor Yoga. Report Abuse
Google Forms