Give Peace a chance Yoga Trainings Give Peace a chance Yoga Teacher Training Application Name:___________________________________________________ Address:_____________________________________________________________________________________ Phone/text:__________________________________________________ (best number to reach you) E-mail:____________________________________________ Emergency Contact:________________________________________ Phone:____________________________ Relationship__________________________________ Age_______________ Occupation ___________________________ Space is limited. To ensure a place in the program we encourage you to apply early. We are thrilled you have chosen our program. We will do our best to exceed your expectations and look forward to this transformative journey together! How long have you been practicing yoga, what is your favorite pose? What is your intention for this teacher training? pg. 1 Give Peace a chance Yoga Trainings What value do you hope this will add to your life? What teachers and/or styles have influenced you? How do you integrate yoga into your daily life? How did you hear about our teacher training? Do you have any concerns? Please list any medical conditions or medications you currently take. pg. 2 Give Peace a chance Yoga Trainings I understand this application is for a 200hr Yoga Teacher Training. If medical or unusual circumstances prevent me from completing my training, a special consideration may be made for me to retake parts of the program at my expense. I understand that faculty is subject to change without notice. I understand that to complete the program I must turn in all assigned homework and meet all necessary standards to receive the certificate. I understand the owner or a primary instructor reserves the right to ask me to leave the program at any time if my behavior is inappropriate, through lack of participation or otherwise, disrespectful to staff or fellow trainees, unethical or violates the Yoga Alliance ethical guidelines. In these unusual circumstances I understand I will not be refunded the portion of fees unused. I release Asana Studios, Give Peace a chance Yoga its employees, agents, and assigns from all liability which may arise from any and/or all claims by me or any third party in connection with my participation in the program. I also release from all liability any instructor or other persons affiliated with the program for any reason or due to physical injury, illness, or any other unforeseen circumstance that may arise during the course of the program or after its completion. Accept all terms and conditions of this application. Signature: Date: Full Tuition: $__________ Register and pay in full by _______________ 2015 and receive a discount of $200.00 the Early Bird Discount! $250 Non-refundable deposit due with application. All tuition must be paid in full by ____________________ pg. 3 Give Peace a chance Yoga Trainings Please contact Santosh, Program Director, if you have any questions or if a payment plan would be helpful for you to complete enrollment in the training. We want to support your journey, some trade opportunities maybe possible. givepeaceyoga@gmail.com 303.601.0575. Please make arrangements to return application and required deposit or full payment to Santosh, at the Arvada Asana Studio or Mail to: Checks Payable to: Give Peace a chance Yoga Give Peace a chance Yoga C/O Santosh Powell 313 Bordenville Ct. SS J-2 Jefferson, Co 80456 Refund Policy: If a student withdraws prior to the start of training, the $250 deposit is non-refundable and nontransferable. We will be holding your sacred space in the training. A partial refund of tuition fees paid maybe given if a trainee withdraws from the training after classes start. The refund amount will consider length of time in program, circumstances concerning early departure and other relevant factors. Refund will be determined by the program’s managing partners. Thank you again for your interest in our amazing Teacher Training Program! Namaste, pg. 4