1. Default Section

* 1. Full Name and Mailing address:

* 2. How did you find out about this training?

* 3. Best phone number(s) to reach you: (please indicate type -- mobile, work, home)

* 4. Email address (this will be our main form of correspondence)

* 5. Date of Birth

* 6. What is your background and experience with yoga? How many years you have been practicing yoga? Please list in detail:

School // Style // Teacher(s) // Number of Years

* 7. What is your educational and professional background outside of yoga?

* 8. Why do you want to take this yoga teacher training?

* 9. Please describe any special medical concerns you have. Are you currently taking any medication?

* 10. Where do you currently practice yoga? If so, with whom/which style of yoga?