- Yoga Therapy Institute

Full Name *

Email *

Address *

Address

City/Suburb

State/Territory

Postcode

Country

Phone *

Are you Under or Over 25? *

Yoga Teaching Qualifications

Where did you train (location)? *

What year? *

Name of Teacher/School *

How many hours was your initial teacher training course? *

Are you a member of a Yoga Association?

Yes

No

Which one? Which one?

Please attach proof of your qualifications.

Maximum upload size: 52.43MB

If you have completed a Yoga teacher training course of less than 350 hours duration, please include a list of additional workshops, courses, conferences that you have attended that show how you have made up the required 350 hours. Please indicate the duration of each course. (Do NOT include non yoga related courses here, such as, fitness, massage, counselling etc.)

Yoga Teaching Experience

What year did you commence teaching Yoga? *

How many classes on average would you teach each week? *

Please estimate how many hours you have taught in total. *

Please provide brief details about any other relevant qualifications (e.g. Counselling, Massage, Fitness) if applicable.

Medical Conditions / Surgeries / Injuries / Special Needs

Emergency Contact

Contact Name *

Contact Phone *

Relationship to you *

I agree to abide by the Terms of Use. Please pay particular attention to the refund policy.

I agree to abide by the Yoga Therapy Institute Code of Conduct and Administrative Policies.

I warrant that the information provided above is accurate and understand that the information collected is to be used for the purposes of delivering the course and that Yoga Therapy Institute will not use the information for any other purpose without my permission.

In enrolling in this course, I undertake to comply with attendance requirements, complete assessments in a timely manner, ensure all assignment work is original and not plagiarised and conduct myself with fellow students, tutors and visiting case studies honestly and respectfully and in a manner that accords with the Yogic ethics and in accordance with the Yoga Therapy Institute Code of Conduct.

*

I agree to the Terms of Use, Code of Conduct and herewith confirm my application for the Graduate Certificate in Yoga Therapy course. I authorise Yoga Therapy Institute to charge my credit card for $1000 once my application is accepted.

Yoga Teaching Qualifications

Yoga Teaching Experience

Emergency Contact

Pin It on Pinterest