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* 1. Please enter:
  1. First name
  2. Last name
  3. Address 1
  4. City
  5. State
  6. Zip
  7. Phone
  8. Email
  9. Emergency contact/s

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* 2. What is your current level of training in yoga and/or related fields? 

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* 3. What do you hope to learn from this Masterclass?

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* 4. Do you have a specific intention for registering for this Masterclass?

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* 5. Will you be applying for Yoga Alliance CEUs after completion of this Masterclass?

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* 6. Please share anything additional that you would like to share, or any questions or special considerations that you might have.

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