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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 / Time

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

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* 12. 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.
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* 13. Prerequisite
To attend Level 2 you need to have either
a) already completed a 200hr Yoga Alliance teacher training
b) already completed Level 1

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* 14. Prerequisite Con't
If you chose option (a) above please provide a photo of your certificate. 
If you chose option (b) please skip this question

PDF, JPEG, JPG, PNG file types only.
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* 15. Cancellation Policy:
All but $250 administration fee is refundable until May 1, 2019.
Sorry, due to the nature of the training no refunds will be given after May 1, 2019. However, you may apply your paid tuition less the $250 administration fee to a future One Yoga Training. We reserve the right to cancel training up until 2 months prior to start date, in this case you will receive a full refund.
Do you agree to our cancellation policy?
*Please note you will not be able to register if you do not agree.

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* 16. Please see the information package for payment plan options. Which payment plan would you like?

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* 17. To get you set up for payments to register you, please go here and create an account or log into your existing account using your email.

Make sure to include your billing information and credit card.
*Please note we will have to register you in the training, you are not able to register yourself.

Have you set up your account and approve the deposit to be charged to your credit card with the remaining payments to be charged automatically based on your selected payment plan above?

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* 18. How did you hear about the retreat?

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* 19. Would you like to receive newsletters about:

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

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