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YTT 300 Application
for the Lotus Pond Center for Yoga & Health
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Email
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Your email
Name
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Your answer
Address
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Your answer
Phone number
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Your answer
Date of Birth
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MM
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DD
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YYYY
Emergency Contact
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Your answer
Yoga Alliance RYT 200?
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Your answer
YA Registration No.
Your answer
Where did you study?
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Your answer
When did you graduate?
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MM
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DD
/
YYYY
Are you currently teaching yoga? If so, where?
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Your answer
How long have you been teaching?
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Your answer
What tradition/style?
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Your answer
How long have you been practicing?
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Your answer
Do you currently have a daily/personal practice?
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Yes
No
Other:
Do you have any chronic physical limitations or disabilities?
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Your answer
Have you had a serious illness or major surgery within the last 5 years?
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Your answer
Were you referred by another yoga studio to Lotus Pond's Yoga Teacher Training Program? If so, please list the studio below. If not, write "N/A"
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Your answer
Questions / Comments
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