Gertrude Street Yoga | 200 Hour Application

Personal Details

Name(Required)

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Preferred Name and Spelling for Certificate(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact Details

Emergency Contact Name(Required)

First Last

Emergency Contact Email(Required)

Emergency Contact Phone(Required)

About You

Education & Training(Required)

What is your profession?(Required)

What is something unique about yourself?(Required)

Yoga Related Information

How long have you practiced yoga?(Required)

How would you describe your current yoga practice?(Required)

Who are two of your yoga teachers?(Required)

What styles of yoga do you practice?(Required)

How did you hear about this training?(Required)

What made you choose this training? What appealed to you?(Required)

What is your primary motivation for taking this training?(Required)

Health and Wellness

Do you have any current physical, emotional, or mental health concerns that might affect your participation in this training?(Required)

No

Yes

Please share a bit more.

Please share any history of trauma, anxiety, depression, or other health concerns so that we have a clear understanding of your background and are best equipped to support you through this training.(Required)

Do you have any allergies?

No

Yes

Please tell us about any allergies we should know about.

Are you currently taking any medications?(Required)

No

Yes

Please tell us about any medications we should know about.

What is your level of oral and written proficiency in english?(Required)

Agreements

1 Year(Required)

I understand that 1+ year of experience practicing yoga is recommended before attending this training(Required)

Deposit(Required)

I understand that once my application has been accepted my deposit is non refundable(Required)

Missing Days(Required)

I understand that missing more than 3 days may result in loss of certification(Required)

Deposit 2(Required)

I understand that I must make my deposit before my application will be processed(Required)

Cancellation Policy(Required)

I have read and agree to the cancellation policy

You can read the full cancelation policy on this page: https://gertrudestreetyoga.com.au/200-hour-training/

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Name

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200 hour Training Training Application

Personal Details

Emergency Contact Details

About You

Yoga Related Information

Health and Wellness

Payment Details

Agreements

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