Date Date Format: MM slash DD slash YYYY Personal Information:Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Occupation*Emergency ContactName* First Last Phone*Relationship*How did you first hear about Inlet Yoga's Teacher Training Program?* I practice at the studio I was referred Internet search Friend Facebook Medical History:How would you describe your current health?Excellent, Good, Fair, Some Challenges (please briefly describe)Please let us know if you have any injuries that may affect your ability to fully participate in the training.*Please list any medical conditions that may affect your ability to fully participate in the training.*Have you had any surgeries in the last year? If yes, please explain.*Is there anything else we should know about your medical history?*Safety is very important to us. At any time, your trainer(s) may ask you to leave if you are not at the physical and/or health level to fully and safely participate, or if you are affecting the safety and learning of others.Yoga Experience:To better serve you, it is important that we have a general picture of your yoga practice and history. Please be as honest and clear as possible. Do not fear answering NO.How long have you been practicing yoga?*How many days a week do you practice yoga?*What style of yoga do you usually practice?*Which studios do you currently practice with?*Do you have a home practice?* Yes No Do you practice meditation or pranayama?* Yes No Do you practice inversions?* Yes No Do you practice chaturanga?* Yes No What area of yoga challenges you the most? (please specify)*Is this your first training?* Yes No Prior TrainingsAre you currently teaching yoga?* Yes No How many years have you been teaching and where do you teach?In your opinion, what qualities embody a good yoga teacher and why?*Why do you want to take a Yoga Teacher Training program?*What are your expectations for this training? What do you hope to achieve at the completion of the program?*Cancellation Policy & Enrollment Agreement:A $200 non-refundable deposit is due with you application.Cancellation Policy If a student chooses to withdraw from the program 14 days prior to the first weekend of training, your deposit may be transferred toward a future Teacher Training and you will be refunded the remaining balance. If you cancel within 14 days before the start of the training, you will forfeit your $200 deposit, but your remaining balance will be refunded. Once the training begins tuition is non-refundable and non-transferable. Agreement I understand that if I fulfill all the requirements of the Inlet Yoga Teacher Training, including in class hours, homework, quizzes and passing both the written and in-class final exams, I will receive a letter of completion, which can be submitted to the Yoga Alliance or a prospective employer as evidence that I have completed a 200-hour Teacher Training program. Paying for the program and completing the hours alone does not mean I will pass the program. I understand that Inlet Yoga reserves the right to ask me to leave the program if I am found plagiarizing, if my behavior is inappropriate, unethical or violates the Yoga Alliance ethical guidelines. Under such circumstances I understand I will not be refunded my tuition. I understand that Inlet Yoga reserves the right at any time to ask me to leave the training if it appears that my health or physical practice are not at the level to fully participate in the training. Under such circumstances I understand I will be given a prorated refund, based on the amount of time I have attended in the training. By submitting this application, I submit that I have read and understand the Cancellation Policy and agree to the terms of this Enrollment Agreement.Payment Information:Payment Options* $2,800 - pre-paid in full by October 1, 2019 (includes the non-refundable $200. deposit/application fee) $3,000 - payment plan - 7 installment payments of $400 a month (includes the non-refundable $200. deposit/application fee) 1st payment must be submitted no later than the first weekend of training. Payment Agreement* I understand and accept the payment plan as outlined above and agree to have these payments made automatically to the credit or debit card on file. *other arrangements can be made if you prefer to pay by cash or check.