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SUP Yoga Teacher Training Application Form
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Course You Would Like to Attend :
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Choose
ONLINE SUP Yoga Teacher Training
One-to-One 1 Day Course
Group Course
How did you hear about our SUP Yoga Teacher Training?
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Internet Search
Facebook
Instagram
Friend
Other:
Your Details
First Name
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Your answer
Last Name
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Your answer
Gender
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Choose
Male
Female
Other
Date of Birth
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MM
/
DD
/
YYYY
E-mail Address
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Your answer
Confirm E-mail Address
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Your answer
Mobile Phone (incl. country code)
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Your answer
Home Street Address
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Your answer
Home Street Address 2
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Your answer
City
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Your answer
Postal Code
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Your answer
Country
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone
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Your answer
Facebook URL/Name
Your answer
Instagram URL/Handle
Your answer
Your Yoga & Stand Up Paddling Background
What is your current Yoga Certification?
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RYT 200
E- RYT 200
RYT 500
Fitness Instructor
Pilates Instructor
Other:
Required
Do you hold First Aid/CPR certificate?
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Yes
No
Other:
Do you currently own a SUP board or practice Stand Up Paddling?
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Your answer
What is your Stand Up Paddling experience?
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Your answer
Please list your yoga teaching experience (if any):
Your answer
What is your SUP Yoga experience?
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Your answer
Why did you decide to do SUP Yoga Teacher Training? What are you goals with this course?
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Your answer
Do you have any health or medical conditions that may affect your ability to participate fully and safely in this program?
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Your answer
Has any medical doctor or health professional advised against yoga, fitness, or other forms of exercises?
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Your answer
Are you taking any medications?
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Your answer
Do you use recreational drugs or alcohol? Please be honest.
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Your answer
Do you suffer from motion sickness?
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Yes
No
Can you swim?
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Yes
No
Do you have any food allergies?
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Your answer
Do you have any dietary restrictions? Please list.
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Your answer
Anything else you would like us to know about you?
Your answer
Trainee Course Terms Agreement
I understand that this course is not a retreat, it's a training, and it will be mentally and physically challenging.
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Yes, I understand
Required
I understand that as a health company, SUP Yoga & Fitness Malta teachers are not permitted to smoke or abuse drugs or alcohol.
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Yes, I understand
Required
I take full responsibility for my own health and well-being during the course and will not hold SUP Yoga & Fitness Malta or any of the teaching staff responsible for injuries or other medical problems that might occur.
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Yes, I understand
Required
I understand that registering and joining the course does not guarantee certification—certification is merit based only.
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Yes, I understand
Required
I understand that a positive, team-oriented, optimistic attitude is a requirement for all trainees. Disruptive, rude, or negative behaviour will not be tolerated and may result in removal from the course.
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Yes, I understand
Required
I have read and agree to the privacy policy & data use agreement here:
http://rositajan.com/privacy/
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Yes, I understand
Required
I provide my contact data to receive information and updates that might include marketing. I can edit, update or delete my data/contact info at any time here:
http://www.rositajan.com/mydata
*
Yes, I understand
Required
One last thing...
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