YTT Registration Form

Please fill out this form to join one of our upcoming Yoga Alliance Hatha Yoga Teacher Trainings, noting your preferred course dates. We will reply soon with details for completing your registration, including course cost options and how to send your deposit.

I'm applying for the following course: *

• 200 Hour Hatha Yoga Teacher Training
• 300 Hour Hatha Yoga Teacher Training
• 500 Hour Hatha Yoga Teacher Training

Course Start Date *

Course End Date *

Basic Information

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

Birth Date *

Don’t worry, however we require participants to be at least 18 years of age, we don’t have age limits.

Address *

Address Line 1

City

State / Province / Region

Postal Code

— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Tell us where you live.

Gender

male, female, trans, non-binary, etc.

Pronouns

he, she, they, etc.

Are you fluent in English? (check all that apply) *

• speaking
• reading
• writing

Mother Tongue: *

What is the language you grew up speaking (know the best)?

Other Languages:

please list and describe ability

Accommodation Options

• Single Room with Private Attached Bathroom
• Single Room with Shared Common Bathroom
• Double Room with Shared Attached Bathroom

Preferred Roommate

If there is someone you know also attending the course, with whom you would like to share your accommodations, please list their name and email here.

Your why…

How do you plan to utilize this training? *

• teach online
• teach in person
• enhance / further develop personal practice
• other

Please describe if you checked "other":

Tell us more…

Please tell us about your sadhana (personal yoga / meditation practice)? *

• I have a consistent daily practice.
• I have an occasional practice.
• I know some yoga, but don’t practice much.
• I am an absolute beginner.

Please describe your sadhana: *

Tell us more about your yoga / mediation / ritual practice.

Do you have any prior certifications? *

• Yes
• No

Tell us more about with whom / what traditions have you studied / practiced yoga? *

List your previous courses, teachers, studios where you practice, what styles, etc.

Have you taught yoga before? *

• Yes
• No

If so, tell us about your teaching experience: *

Give us some details… to whom, where, for how long, which styles, paid or volunteer, online or in-person, etc.

Why do you want to take this course? *

Tell us more…

What do you expect to get out of this course? *

Tell us more…

Please tell us more about yourself: interests, hobbies, lifestyle habits, background or anything else pertinent you would like to share. *

Tell us more…

Anything else you would like to mention or questions you may have regarding our teacher training programs?

Tell us more…

Where did you find out about our YogAnga Retreat Hatha Yoga Teacher Trainings?

• WhatsApp
• Facebook
• Instagram
• Email Forward
• Newsletter
• Ashram Website
• Google Search
• Other

This helps us understand current and develop future marketing strategies.

Please describe if you mentioned "Other"

Tell us more…

Health Information

Your acurate and honest answers are confidential, only shared with the course teaching staff, so that they may better assist your progress in the YTT.

 

Heart Disease *

• Yes
• No

Shortness of Breath or Chest Pain *

• Yes
• No

Use an Inhaler? *

• Yes
• No

If “yes”, please bring it to every class.

High Blood Pressure *

• Yes
• No

Low Blood Pressure *

• Yes
• No

High Cholesterol Level *

• Yes
• No

Significant Bone/Joint/Muscle Pain/ Injury *

• Yes
• No

If Yes, please provide details below:

Tell us more…

Back Pain *

• Yes
• No

Cigarette / Marijuana / Hash Smoking / Other Drugs *

• Yes
• No

If Yes, please provide details below:

Tell us more…

Alcohol use *

• Yes
• No

If Yes, please provide details below:

Tell us more…

Abnormal Resting EKG *

• Yes
• No

Diabetes *

• Yes
• No

Insulin Dependent *

• Yes
• No

Are you currently taking any medication(s)? *

• Yes
• No

Is there any thing else about your physical / mental health you would like us to be aware of, so that we can better assist ?

Tell us more…

I filled out everything on this form with truth to my best ability. *

• I agree

Custom Captcha *

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