Teacher Training Application Form

Please note: Space is limited. If registering within one month of training date, please call or email to confirm space availability prior to mailing in your form & payment.

Training Session: 2008 Fall Session #29, 2009 Spring Session #30, 2009 Fall Session #31

About You

First Name: Last Name:
Date of Birth: (you must be 21 years of age to attend teacher training)
Gender: Male Female

Your Contact Information

Home Phone:
Work Phone
Cell Phone:
E-Mail:

Address:
Address 2:
City:
State / Province
Postal Zip Code:
Country:

Emergency Contact
Name:
Telephone Number:
Relationship:

Medical & Health

Please describe any special medical concerns you have.

List Physical disabilities (e.g. heart problems, high or low blood pressure, diabetes, neck, back or knee challenges).

List treatments or medications for any of the above conditions, including poses or modifications your yoga teacher has suggested to accommodate your injury.

Your background and training

What is your background and experience with yoga?

How long you have been practicing Bikram Yoga?

Why do you want to take Bikram yoga teacher training?

What aspects of participating in Bikram Yoga teacher training, if any, are you most concerned about? (for example: memorization, attendance, getting to class on time, seeing yourself as a teacher, etc.

Briefly describe below any training you have had in the fields of anatomy and physiology (e.g. where you have studied, how long, in what year?).

Have you ever been convicted or placed on probation for any crime or offense, either felony or misdemeanor, by any federal or state jurisdiction?: Yes No (If yes, list each separate offense by date of conviction, offense, court of jurisdiction, and disposition (amount fined, term of probation, jail or prison, date released). )

Application Requirements

Applicants must complete the following 5 items. Items B - E must be delivered in a sealed package. Incomplete applications will not be considered for acceptance.

A. All applicants must have studied and practiced the Bikram Yoga for a minimum of 6 months. Students must have a consistent weekly Bikram Yoga practice to be accepted into the program. (Exceptions may be made on a case by case basis upon reviewing your yoga experience.)

B. Completed application form.
C. Current letter of recommendation from your Bikram Yoga teacher
D. A recent photo of you alone (full body shot).
E. $500 deposit. Deposit will be applied toward tuition if accepted and refunded if not accepted (less a $75 fee for processing). This deposit must be in the form of a check or money order made payable to BY yoga and must be attached to the application.

Physical Requirements

All applicants must be able to... Are you capable of: taking two (2) Bikram Yoga classes a day (comprising in total from three (3)to five (5) hours of yoga per day, six days a week, for nine (9) weeks; attending lectures and clinics for an additional approximately six (6) hours per day; and studying an additional approximately one to two hours per day on your own?:
Yes No Not Sure

All applicants must have a consistent Bikram Yoga practice of at least 6 months.

Acceptance Notification

Applicants who have been accepted will be notified via e-mail. If you prefer to be notified by phone, please state so clearly on your application. Accepted applicants must confirm their acceptance immediately via e-mail or telephone. If an accepted applicant fails to confirm by 6 days prior to program start date, his/her space will be offered to another applicant.

Tuition Payments

Participants must pay their remaining balance in full no later than one week before the program start date. Payment must be made by credit card, check, or money order payable to Bikram Yoga.

Tuition Refunds

Cancellations received on or before the acceptance notification date will be charged a $100 processing fee. Cancellations received after the acceptance notification date will be charged a $250 cancellation fee. Notice of cancellation must be made in writing. No refunds permitted two days prior to program start date.

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