Yoga Teacher Training Thailand Registration Form

Course date:*

Name:*

First

Last

Address:*

Street AddressCityState / Province / RegionPostal / Zip CodeCountry

E-mail:*

Emergency contact:*

Medical history:*

Past experience in yoga and meditation:*

Accommodation:*

1 person in a shared double room

1 person in a private bungalow

Please specify your gender (shared room):

Male

Female

Term and conditions:*

I read, agree to, and accept all terms and conditions specified in the 'Payment and Cancellation Policy' section listed on this website.

Medical release consents:*

I understand all the medical risks involved in this program and take full responsibility for any unexpected consequences.

Deposit:*

Deposit € 600

You will be redirected to PayPal to make your deposit payment. As soon as we received the payment we'll send you confirmation within 24h.