First and Last Name






Phone Number

Emergency Contact Name(s)

Emergency Contact Phone Number(s)

Do you have a regular yoga practice? If so, about how many times a week do you practice?

What has inspired you to pursue a yoga teacher training? Do you plan to teach yoga?

Have you ever been a teacher? If so, to what capacity?

Describe your overall health. (Please include any medical conditions, and medications (if any) that we should be aware of.)

Do you have pre-existing injuries? If so, how do you anticipate they might affect your participation in the program?

What are you hoping to get out of this teacher training? Do you have any specific goals that you would like to share?

Please name two books that you would recommend.

Were you referred to us by a studio?

If yes, which one?

Name(s) of teacher(s) who recommended you to this training

What else would you like to share?