359° YOGA TEACHER TRAINING APPLICATION

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First and Last Name *

Email *

Street Address *

City, State, Zip *

Phone Number *

Date of Birth *

Emergency Contact Name *

Emergency Contact Phone Number *

How long have you practiced yoga? *

What style(s) of yoga do you practice? *

Are you currently a yoga teacher? *

Do you have any injuries, illnesses, or other limitations that may affect your practice and/or study? *

If yes, where do you teach and how long have you been teaching? * *

Are you able to commit the required time to this course – attending all weekend sessions, attending 20 additional yoga classes outside of the weekend sessions, and completing all reading and homework assignments? *

Acknowledgement of Course Requirements

1, (type first and last name below) *

, understand that if I do not fulfill the course requirements that I will not be eligible for a certificate of completion or eligible to register with Yoga Alliance. I acknowledge the following course requirements: • Attendance at all weekend sessions. • Completion of all reading assignments and homework in a timely manner. • Attendance of at least 20 classes (outside of weekend sessions). At least 10 of these classes must be with 359° Yoga teacher training instructors. • Completion of evaluations forms for each of the 20 outside classes attended. • Commitment to a regular personal practice, at least two times per week.

Signature *

Date *

Acknowledgement of Refund Policy

1, (type first and last name below) *

, acknowledge that I have received and understand the refund policy from 359° Yoga.
Refund Policy: If you have chosen to pay in full, the refund policy is as follows: Cancellations 30 days or more prior to start of the course will receive a full refund minus a $100 cancellation fee. • Cancellations within 30 days prior to start of the course will receive a partial refund (75% refund minus $100 cancellation fee). • No refunds are available after .... (see exceptions below) If you have chosen to pay per session, the refund policy is as follows: • No refunds will be given for weekends already attended. • $200 deposit is non-refundable. • Cancellations 30 days or more prior to start of a session will receive a full refund minus a $100 cancellation fee. • Cancellations within 30 days prior to start of a session will receive a partial refund (75% refund minus $100 cancellation fee). • No refunds are available after .... (see exceptions below) EXCEPTIONS: • 359° Yoga reserves the right to cancel any program at any time. If this is necessary, we will issue a full refund prior to the start of the course or prorated refund after the start of the course. • Medical reasons: Should you not be able to complete the course for medical reasons a prorated refund or future course credit will be issued. • Special circumstances: Should you need special consideration for your circumstances contact us at the email address below. • Please allow up to 30 days for your refund to process. Please contact us at info@359yoga.com for more info.

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Date *

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