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Select program(s) to which you are applying:
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Teacher Intensive 2018
Yoga Immersion 2019
Teacher Intensive 2019
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Marital status
Yes
No
Children?
Yes
No
Emergency contact:
Emergency contact name
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First
Last
Emergency contact phone
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Relationship to contact
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Yoga experience
How long have you been practicing? - months/year(s)
Styles studied
Studio(s)/school(s)
Teacher(s)
Please list any yoga workshops or trainings you have attended.
Where do you currently practice yoga? What style? Who is your teacher?
Getting to Know You
What does yoga mean to you? (200 words max)
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Why do you want to participate in Glowing Body Yoga Teacher Training? (200 words max)
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Please describe your recent yoga practice, including any breakthroughs or challenges. (200 words max)
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What are your expectations for GBTT? What do you hope to learn? (200 words max)
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Please tell us about yourself. Family, work, pets, education, hobbies... Anything you wish us to know. (200 words max)
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The following will be used by our training staff to better assist you during GBTT. Your information will be kept strictly confidential. Please tick the appropriate box and explain any positive answers.
Are you taking any prescription medication?
Yes
No
If "yes" please list/describe medications.
Physical limitations or disabilities?
Yes
No
If "yes" please list/describe limitations or disabilities.
Communicable disease(s)?
Yes
No
If "yes" please list/describe disease(s).
Serious illness?
Yes
No
If "yes" please list/describe illnesses.
Surgeries?
Yes
No
If "yes" please list/describe sugeries
Pregnant or trying?
Yes
No
Have you or do you use or consume:
Tobacco
Yes
No
Alcohol
Yes
No
Recreational drugs
Yes
No
Illicit substances
Yes
No
If you answered yes to any of the above, please describe your usage.
Agreement
*
I agree
By clicking "I agree" I hereby attest that all information provided is correct. I also agree to adhere to the terms set forth by Glowing Body Yoga Studio.
