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Teacher Training Application

Application for Teacher Training

First Name: *

Last Name: *

Email: *

Date of birth: *

Street Address: *

City: *

Province/State: *

Country: *

Postal/Zip Code: *

Phone (h):

Phone (w):

Phone (c):

Occupation: *

Please list any injuries, physical or psychological conditions that might keep you from participating fully in the training. *

Emergency contact: *

Relationship to emergency contact: *

Emergency contact phone: *

Emergency contact - Doctor:

Doctor's phone:

Emergency contact - Therapist:

Therapist's phone:

Have you attended other teacher training programmes? *

yes

no

If yes, please describe, including name of training, locations, description and year of completion.

If any programmes listed above were not completed, please provide reasons.

Please provide the name of a person who supports your application to this training: *

Phone number of reference: *

Please provide the name of a 2nd person who supports your application to this training: *

Phone number of second reference: *

Write an essay of 500-1250 words on your background in yoga and teaching. Include in the essay your reasons for wanting to become a yoga teacher and relevant experience in any area, including teaching experience. *

Please submit an outline of your home yoga practice. *

If you are currently teaching, describe the classes and include a sample lesson plan.

A payment of $70 must accompany your application. Indicate your method of payment:

E-transfer

Cash

Cheque

Credit Card

PayPal

Date: *

*

By checking this box and submitting this form I certify that the above information is correct and complete to the best of my knowledge.

All Studio news and information goes out by email. Would you like to be on our mailing list? *

Yes, I would like to continue receiving emails

Yes, I would like to be put on your email list

No, I do not want to received emails

If you are human, leave this field blank.

Your application is complete upon receipt of the $70.00 application fee.

Payment can be made by cash, cheque (in Canadian dollars), credit card , e-transfer or PayPal. Send cheques to Esther Myers Yoga Studio, 390 Dupont St., Suite 203, Toronto, Ontario, M5R 1V9, or you can call our office at 416 944-0838 to leave your credit card information.

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390 Dupont St, Toronto, ON - M5R 1V9 Canada

Tel : 416-944-0838

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