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Read the information on TEACHER TRAINING REGISTRATION

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Teacher Training Application and Registration Form

Your Forrest Yoga Teacher Training Application and Registration Form has been successfully submitted.
Name: *


Address: *


City: *


State/Province: *


ZIP Code: *


Country: *


Phone (home): *


Phone (cell):


E-mail: *


Website:


Gender: *
Male
Female
Are you pregnant, think you may be pregnant or planning to get pregnant during this Teacher Training? *
Yes
No

Occupation:


Emergency Contact Name: *


Emergency Contact Phone: *


Which Teacher Training are you applying for? *
Foundation Teacher Training - First time in Europe!!, June 08, 2012 - July 03, 2012, Peterborough, United Kingdom
Foundation Teacher Training in New Haven, July 13, 2012 - August 08, 2012, New Haven, Connecticut
Continuing Education for Teachers, July 18, 2012 - July 22, 2012, Cranston, Rhode Island
Advanced Teacher Training, August 02, 2012 - August 10, 2012, Carnation, Washington
Advanced Teacher Training in Seoul, September 01, 2012 - September 09, 2012, ,
Foundation Teacher Training in Chicago, October 19, 2012 - November 14, 2012, Chicago, IL

Have you attended prior Forrest Yoga Teacher Trainings? *
Yes
I have attended a Forrest Yoga Foundation Teacher Training.
Please provide the date and location for the Foundation Teacher Training you attended: at
I have attended a Forrest Yoga Advanced Teacher Training.
Please provide the date and location for the Advanced Teacher Training you attended: at
I have attended a Forrest Yoga Continued Education for Teachers.
Please provide the date and location for the Forrest Yoga Continued Education for Teachers you attended:
No

Please list any previous yoga experience. *


Please list any other training or experience that you think may be relevant.


Why are you interested in this Teacher Training? *


What are your expectations for this training? What do you hope to gain, learn or work on? *


Tell us about your physical health (major illnesses, surgeries, injuries or physical conditions we should know about. Indicate if your conditions may result in early withdrawals from this course. *


Tell us about your emotional and mental health (previous or current therapy, type, length of time, eating disorders, bouts of depression, addictive behavior, etc). Note: Please understand that any difficult times you have gone through will be a bonus to your students who have their own difficult times. *


Are you currently taking any medications? *
Yes
Please describe. *
No


Have you been physically, sexually or emotionally abused or assaulted? *
Yes
Please describe. *
No


Have you had experience with violent behavior? *
Yes
Please describe. *
No


Describe your diet, health, exercise practices and beliefs. *


List other interesting things you think we should know about you.


How did you hear about this Teacher Training?
Website
Yoga Journal
Workshop
Conference
Facebook/Twitter
Forrest Yoga Teacher
Great! Who recommended this Teacher Training?
Other
How did you hear about this Teacher Training?

Please provide a recent photo of yourself: *


Payment Terms *
By checking this box I agree to the following Payment Terms:
All tuition fees must be paid in a timely manner in accordance with the deadlines specified:
  • Relevant deposit upon registration.
  • Remaining amount 30 days prior to the start date of the relevant Teacher Training.
No refunds, credits or transfers are available for cancellation prior to the start date of any Teacher Training. Mossy Knolls, Inc. reserves the right to amend this policy at its sole discretion.


Signature *
By checking this box I hereby declare and affirm the following:
I am the individual given above. I confirm that all information provided herein is true, accurate and up to date. Further, I agree that to the extent that there are any changes to the information provided above that may affect my ability to attend the Teacher Training, I shall inform Forrest Yoga as soon as possible hereof. I understand and agree that any and all information I submit via this Online Application Form will be sent to the host studio, Forrest Yoga and myself for the purposes of registration and application for the training in question. In addition, I confirm that I have read, understood and agreed to the payment and refund terms.