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* 1. Welcome and thank you for your interest in our Advanced Teacher Training Program. We are excited to offer this new and one of kind training in the area. 

This program requires 100% commitment to the program and attendance to the weekend modules.  In addition, it requires your participation in our 200hr training program as an assistant, mentor and/or apprentice. You must complete all 300hr of the training within 18 months or less of enrollment. You must be coachable and open to try on what is offered.  

Upon submission of this application you will receive an email around your acceptance.  Once you have been accepted, it is required that your $500 deposit be made within 5 days to hold your spot.  The remaining of your tuition will be paid through a 12 month payment plan.

Submission of this application indicates that you have read the requirements and noted the program dates as listed at www.moonshinepoweryoga.com

We are super excited to have you enroll in this life-changing journey – Here We Go!!!!!

I have read the requirements of the program and am committed 100% to the program.

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* 2. First and Last Name

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* 3. Street Address, City, State, Zip Code

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* 4. Phone Number

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* 5. Email Address

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* 6. Where and When did you complete your 200hr Teacher Training?

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* 7. Why are you interested in completing the Advanced Teacher Training at Moonshine?

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* 8. List below any other yoga related programs/trainings you have completed and when.

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* 9. Tell us about your current yoga practice, how long, how often and what style.

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* 10. Do you currently teach? Where and how long?

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