REVOLUTION YOGA - Long Island Yoga Teacher Trainings, Kids Yoga teacher training, prenatal teacher training, vinyasa teacher training, restorative teacher training

Revolution Yoga- Teacher Training Application Form

We are so excited to start on this sacred path with you. Please fill out the information below so we can!

First Name

Last Name

Email Address

Phone Number

Password

Address 1

Address 2

City

State

Zipcode / Postal Code

Country

Birthday

Day

Month

Year

Emergency Contact Email

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

Referral Source

Where and what style do you practice in?

Please tell us about your health: injuries, conditions, illnesses or anything else that might affect your training.

What do you expect to gain from this training? What are you interested in working on while with us?

How did you hear about our training?

Why do we chant om? What do mudrah, chakra, prana, mantra mean to you?

Why is gratitude important? What are you grateful for? How do you express that gratitude?

You can read about yoga in books, but it is vital to have a direct experience of your yoga, why?

What qualities do the yoga instructors that inspire you the most possess? What qualities do you think are important to possess as an instructor? How will you cultivate those qualities in your life?

Card Number

Expiration Date on Card

Security Code on Card

Age Group

Training Program Applying For: All programs are Yoga Alliance Certified for registration or CEU

BY clicking YES below, I authorize Revolution Yoga to initiate credit card debit entries for tuition payment according to the schedules as set forth above. I further understand and agree that each payment is non-refundable.

Registration and Credit Card Authorization Agreement for Automatic Debits I understand Revolution Yoga reviews applications in a timely manner . Payment Schedule for Programs 200 Hour and 300 Hour Non refundable $800 deposit will be debited to secure your spot. Half of remaining tuition will be debited the start date, second half will be debited 3 weeks into program unless a different option is worked out with the facilitator .200 Hour tuition $3333, 300 Hour Tuition $4444