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* 1. Name (First and Last)

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* 2. What is your email?

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* 3. Date of birth

Date

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* 4. What City are you from?

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* 5. Emergency Contact Full Name + Phone number

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* 6. How long have you been practicing yoga asana?

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* 7. What is your home studio? (name + location)

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* 8. Who is your primary teacher or teachers?

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* 9. Have you already completed a 200hr YTT?

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* 10. What do you hope to gain from this training?

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* 11. Why did you choose this training?

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* 12. What will completing this training mean to you? 

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* 13. How have you been living yoga?

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* 14. What is Yoga to you?

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* 15. Do you have any injuries or health issues we should know about? Please specify

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* 16. Please upload a photo of yourself.
We realize this seems weird. It is so that our teachers can get familiar with you and remember your injuries. Please include a photo that looks like you today and were your face is visible. Kind of like a "headshot" or passport photo.

JPEG, JPG, PNG file types only.
Choose File

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* 17. How did you hear about the training?

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* 18. Would you like to receive newsletters about:

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* 19. What other types of events are you interested in?

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