Yoga Teacher Training Application

Name and Contact Information

First Last

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

### - ### - ####

Email

Birth Date

Location of training you are applying for.

Where did you hear about the SOYA Teacher Training Program

Do you require accommodation or billeting as is available? (Payment will be made directly to the persons providing accommodations).

Yes

No

Are you able to billet a student for $20.00 - $25.00 a night?

Yes

No

How many years have you been practicing yoga?

Who would you like to be your approved Hatha Yoga Teacher for the required hours outside of Teacher Training?

Do you have any experience teaching yoga?

Yes

No

If yes, how many years?

Have you taken Anatomy and Physiology in the past or recently? If yes, please bring a copy of your certificate to training.

Yes

No

Do you have current First Aid and CPR? If yes please bring a copy of your certificate to your training

Yes

No

What is your method of payment?

Cheque

Credit Card

Do you require a payment plan?

Yes

No

If Yes and you are paying by credit card, please schedule your payments so that you are paid in full when your training starts. Write out the dates in the field below that you would like your payments to be processed on.
You can phone in your credit card, (number at the top of the form) or pay your full tuition or a deposit through the online shopping cart.

If paying by cheque, please send your cheque, (or post dated cheques if requiring a payment plan) to the address at the top of the form. Please make sure you are paid in full by the time your training starts.

Code of Ethics, Acknowledgements, Waiver

I understand if there are not enough registrants for my chosen location, I may transfer to another location. If I am unable to attend in another location SOYA will refund my money in full on return of books and manual. *

Yes

I understand there is a cancellation fee of $500.00 should I decide not to attend. All books and manuals need to be returned before the balance will be refunded to me. *

Yes

I understand that no refunds will be given should I withdraw from the program once the Immersion begins. Hower, I am able to complete my training by attending at another location. (Taxes may be applicable). *

Yes

SOYA Code of Ethics.
1) To strive to treat others as I would like to be treated.
2) To strive to practice, study and share the knowledge of yoga with those who seek to know.
3) To strive to act in such a manner so as to maintain and honour yoga traditions, such as cleanliness and appropriate dress.
4) To be professional at all times. I will not have any improper physical contact with any student.
5) To strive to practice non-judgement and moderation at all times.
6) To strive to think positive and be positive.
7) To strive to practice the Yamas. Non-violence, Truthfulness, Non-stealing, Moderation, Non-possessiveness.
8) To strive to practice the Niyamas. Purity, Contentment, Discipline, Self-Study, Surrender to the Divine Spirit. *

Yes

I acknowledge that I understand Yoga is not a medical procedure and the Yoga Teacher will not be providing a diagnosis of any medical problems or concerns, which I may have. I understand Yoga is a process of intergration intended to facilitate wholeness, body-awareness and self-awareness. I understand that I am solely responsible for my health, safety and well-being. I agree that I will inform the Yoga Teachers of any health concerns I have. I will also inform the Yoga Teachers of any activity or movement which I cannot safely perform, and that I will not perform any activity or movement which I feel is likely to cause me to injure myself. I agree to hold the Yoga Teacher, Okanagan Yoga Essentials and the South Okanagan Yoga Academy harmless from any and all resposnsibility for any injury which I may sustain during or as a result of my Yoga sessions. *

Yes

Upon entry into these study programs. I agree not to copy or adapt these lessons/materials in any way for use outside of the SOYA program without permission from SOYA *

Yes

I declare the above information to be accurate and true. *

Yes

Your name typed in this field indicates you have signed this document *