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Yoga Heals Us Chair Yoga Certification application
Please complete this form to enroll in the program to help me know more about you.
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Email
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Your email
Name
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First and last name
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Email
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Your answer
Phone number
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Pronouns
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They/Them
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Emergency Contact Name and phone number
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Occupation(s)
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How did you hear about the course?
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Training Experience: What school(s) of yoga did you receive your YTT from and when?
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Training Experience: If
you have taken any Chair Yoga training programs previously, which one(s)?
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What inspired you to sign up for this course?
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What are you most interested to take away from completing your Chair Yoga program?
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If you have any special interests, experiences or capabilities may be relevant to the group, please describe them.
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If you have had any injuries, major illnesses or surgeries that you are comfortable sharing, please briefly tell me what you've managed.
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What other things, if any, would you like to share?
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Please state your name as you would like it to appear on your certificate.
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