* Student's Name
How long have you been practicing yoga for?
What is your current personal yoga, pranayama and meditation practice including frequency and duration like? How does your practice inform your daily life?
Please tell us about your 200-Hour certification. Include the name of the school and the training, date of graduation and duration of the program. Are you currently registered with Yoga Alliance? If yes, please let us know the name you are registered under or email us your diploma.
Are you currently teaching yoga? If yes, please describe how long have you been teaching for, the frequency and number of classes per week you teach.
What is your educational background? Please list any post-secondary schools attended, dates and any degrees or certificates you received.
Tell us about any formal yoga or other mind-body workshops/trainings that you have completed aside from regular group classes. Please include dates, style of instruction, location and name of instructor.
How did you hear about us and what inspired you to choose this program? What are your expectations?
Do you have any concerns about your participation in this program?
Describe your current state of physical, psychological and spiritual health. Please include any injuries as well as medications.
Is there anything else that you would like us to know about you?
Release and Waiver of Liability
I agree to the following Release and Waiver of Liability. All participants in the Chattanooga Yoga School Yoga teacher training are required to digitally sign a release and waiver of liability in order to participate in the program. 1. I warrant that I am over 18 years of age, in good health, and have no physical or mental condition that would prevent me or render it inadvisable for me to participate in the yoga intensive and teacher’s training program. 2. In consideration of receiving permission to participate in this program, I, for myself and for my personal representatives, heirs and next of kin, hereby agree to release and discharge from any liability whatsoever, and waive any and all claims I may have against any person or entity involved with this program in any manner, including but not limited to the Chattanooga Yoga School, Inc.and each of their agents, employees, students and representatives, as a result of any injury or damage, including death, sustained by me or to my property while participating in this program, whether caused by the negligence of any of the above named parties or others, and whether foreseen or unforeseen. 3. I understand that not all yoga exercises or practices are suitable for everyone and that participation in the suggested exercises and practices may result in injury. With the knowledge that any of these exercises and practices can result in injury, I hereby expressly assume all risks associated with participation in this program, including the risk of injury or damage resulting from performing any of these exercises and practices. 4. I further agree to indemnify and hold harmless any of the above named parties from any claim by or against me arising out of my participation in this program, including all of their attorney’s fees and costs. 5. I understand that the instruction and advice presented in this program is not intended as a substitute for medical advice and counseling, and that one should consult a physician prior to the start of any new exercises or practices. I consent to and permit emergency treatment, medical or otherwise, in the event of injury or illness. I further release all persons associated with this program in any manner from any claim whatsoever on account of treatment or service rendered to me during this program. 6. I will conduct myself in a manner that is respectful to my teachers and fellow classmates. I acknowledge that any behavior deemed unacceptable (such as abusive language, sexual harassment or inappropriate physical contact) may result in my being asked to leave the teacher training program. I also understand that if I am asked to leave due to the reasons listed above, I am not entitled to be refunded any portion of my tuition. 7. I acknowledge that in order to apply and register for the teacher training program, I must submit a deposit of $550.00 toward my tuition. I understand that this deposit is NON-REFUNDABLE once my application has been accepted. I understand that my tuition is NON- REFUNDABLE after the first day of training.
Thank you for submitting your application to the Chattanooga Yoga School. Please CLICK HERE to make the $550 deposit.
Your application will not be reviewed until your
deposit has been received. If you are not accepted into the program, your deposit will be refunded immediately. Thank You~