Yoga Teacher Training Registration Form

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PLEASE FILL IN THE FORM BELOW
Course date: *
Name:*
E-mail:*
Address:*
Emergency Contact:*
Medical History:*
Past Experience in Yoga: *
Past Experience in Meditation:

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ACCOMMODATIONS

Do you need accommodations?*
If 'YES' please select your accommodation:

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Terms and Conditions:*
Medical Release Consents: *
Deposit $500.00 USD*
Word Verification:

You will be redirected to PayPal to make your deposit payment.