Yoga Immersion Application Form

In depth Yoga Studies for Everyone

Continuing Education Yoga Alliance Accreditation Course

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

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Home Phone

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Signing up for just one weekend?

Please indicate the weekend date(s) you would like to attend. Cost for weekend (17 hours) $225

Please make check payable to:

Feel Better Yoga . (Credit cards not accepted)

Tell us about you!

Please provide a brief description (200 words or less) of your Yoga background and goals as a Yoga Instructor and what you enjoy doing outside of Yoga.

Emergency Contact

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone Number

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