YOGIFY YOUR LIFE!
Yoga Teacher Training
Student Application Form

Course Date:

Full Name (as per passport):

Preferred name (what would you like us to call you?):

Pronoun

Email:

WhatsApp Phone Number (must include country code +__):

Gender:

Date of Birth:

Current occupation:

Nationality / Citizenship:

Address:

City:

ZIP / Postal Code:

Country:

Facebook account name?

How did you hear about us?(If online, please specify the exact website?)

If through Google, Blog or friend, please provide URL or name?

Do you have any food allergies?

Are you 100% independent?:

If no, please thoroughly explain your disability, limitations, disease or condition/s? Will you have a support person to join you during the training?

Do you have any physical limitations, sensitivities, injuries, conditions or other?

Are you currently taking any form of medication?

How frequently do you practice yoga (daily, weekly, monthly)?

How long have you been practicing yoga? Please explain experience and styles of yoga explored.

What do you hope to get out of this immersion/teacher training? Please list the 3 primary things.

Is there anything else that would be helpful for us to know about you or your past? (e.g. addiction, social therapy, anxiety issues, etc)

Have you got any fears or apprehensions about the upcoming training?

Have you ever received professional medical treatment due to any psychological condition?

EMERGENCY CONTACT - Full name:

EMERGENCY CONTACT - Relationship to you:

EMERGENCY CONTACT - Email address:

EMERGENCY CONTACT - WhatsApp Contact phone number (please include country code and full number, as per WhatsApp phone display. This number will only be used in the case of an emergency so it is important that it is correct):

Please select to note that you agree to our Code of Conduct, Terms & Conditions and Refund Policy.

*By completing the student application form, you are hereby agreeing to Loka Yoga School’s company policy, terms & conditions.

Loka Yoga School is an internationally Registered Yoga School with Yoga Alliance. Our teacher trainers are internationally Registered Yoga Teachers, licensed and accredited teacher trainers with Yoga Alliance (USA).

YOGIFY YOUR LIFE! Yoga Teacher Training Student Application Form

Loka Yoga School is an internationally Registered Yoga School with Yoga Alliance. Our teacher trainers are internationally Registered Yoga Teachers, licensed and accredited teacher trainers with Yoga Alliance (USA).

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YOGIFY YOUR LIFE!
Yoga Teacher Training
Student Application Form