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* 1. Please enter your contact information:

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* 2. What has your yoga experience been so far and how long have you practiced? (Styles, Studios, Teachers, ETC)

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* 3. List your education, current job & hobbies.

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* 4. Why are you interested in this program and how do you see yourself using this certification?

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* 5. In what ways will you work around your work and personal life to dedicate and commit your time and energy to this program?

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* 6. How did you hear about this program?

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* 7. Please list any injuries or illnesses that you feel we should know.

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* 8. Additional Comments:

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* 9. Once we receive your application you will be emailed information to set up your payment plan. We also require a virtual or in-person meeting for any non-members.

Please check "Yes, I agree" to confirm that you understand that a payment plan must be made and an interview must take place before you will be accepted into the program.

Payments are nonrefundable and will only be refunded in the event that Homegrown Yoga denies your application into the program or cancels the program altogether.

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