Maa Yin YTT & Immersion Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This registration form is for the Yin Yoga immersion and teacher training happening in November 2017. If you have any questions, please email teachertraining@maayoga.com. Looking forward to learning the art of slowing down with you!

Email *

TODAY'S DATE *

YYYY

TRAINING *

NAME

First Name *

Last Name *

Nickname

Birthday

YYYY

CONTACT

Address *

Enter address (street, city, state or province, country, zip or postal code)

Phone *

Enter best number to reach you

EMERGENCY CONTACT

First Name *

Enter full name of emergency contact

Phone *

Enter the best phone number to reach them at during an emergency

Relationship *

What is their relationship to you?

LANGUAGE

Is English your first language? If not, what is your first language? Are you proficient in English? *

HEALTH HISTORY

We are not health care providers & cannot give medical advice. If you have any medical conditions, illnesses, prior surgeries, injuries or allergies, or on medications that would affect your experience in this training, let us know. Please honor your body and respect what you need during training. You know best. *

BACKGROUND

What professions have you worked in and educational courses have you taken? *

How long have you practiced yoga? How many times a week do you practice yoga? *

How long have you practiced YIN yoga? How many times a week do you practice YIN yoga? *

Do you have a regular meditation practice? Please explain. *

Are you already a yoga teacher? *

If you are already a yoga teacher, let us know your current certification.

Note: You will receive a certificate of completion that counts towards CEUs with Yoga Alliance if you already completed a 200/300/500 YA certified training. If you are interested in a 200 or 300hr program, email teachertraining@maayoga.com.

PROGRAM EXPECTATIONS

What are your personal goals in taking this program? *

What are your professional goals in taking this program? *

Are you planning to teach YIN? *

How did you hear about this program? *

THANK YOU FOR COMPLETING THIS FORM!

After submitting, you will see a confirmation page with a link to pay the programs fees online. For more information about the training and the refund policy, go to: http://maayogastudio.com/yin-yoga-immersion/.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms