200hr TT Application - Prana Yoga Center

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Upcoming Event: 200-Hour Teacher Training: Winter-Summer-Fall Courses

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200 Hour Signup January 2025

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

1. Name*

First Last

2. Email*

3. Phone Number

4. Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

5. Date of Birth (optional)

MM slash DD slash YYYY

6. Emergency Contact - name & phone number

7. Occupation

8. How did you hear about our program?

Prana In-Studio or Newsletter

Social Media

Google/Internet research

Word-of-Mouth

Alumni Referral

Other (please specify)

9. How would you evaluate your current health?

Excellent

Good

Fair

Are you pregnant or planning to get pregnant during the training?

10. Do you suffer from any medical conditions, chronic illness or have sustained any injuries we should be aware of?

11. Please list any medications you are taking.

12. How long have you been practicing Yoga?

13. What styles of Yoga?

14. Who have been your primary Yoga teachers - both past and present?

15. At which Yoga studios do you currently practice?

16. What areas of Yoga challenge you the most?

17. Are you currently teaching Yoga? If so, where?

18. Is this your first Yoga Teacher Training? If not, please list others.

19. What is the impact of Yoga on your life so far and why you want to participate in the Prana Yoga Teacher Training?

A $500 non-refundable deposit is required to complete your registration and secure your spot: pay online or contact our program advisor: alex@prana-yoga.com. *Early discount Deadlines: The tuition payment is due in full by the early registration date in order to receive the discounted rate.

I am paying by check. Please make check out to 'Prana Yoga Center.'

I am paying by credit card. We accept Visa, Mastercard & American Express. Please enter your credit card number, expiration date & CVC # below and authorize amount to be charged - $500 deposit or full amount.

I would like to pay online

Other Payment method (please specify)

Prana Yoga Center is owned by Quality Longevity Foundation, a 501(c) non-profit organization dedicated to health, well-being and longevity.

PRANA YOGA CENTER

1041 Silverado St.

La Jolla, CA 92037

858 456 2806

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