Thrive and Grow 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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Weekends:

Please indicate the weekend date(s) you would like to attend. Weekend attendance is dependent on space available. Students enrolled in full units or teacher training are given first priority. Cost for weekend (14 hours) $250

Please make check payable to:

(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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