Email
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Name
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First Name
Last Name
Date of Birth
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MM
DD
YYYY
Which training are you attending?
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YTT 200 hrs.
YTT 300 hrs.
Trauma Sensitive Yoga Teacher Training
Aerial Yoga Teacher Training
Restorative Yoga Teacher Training Level 1 or Level 2
Chair Yoga
Training of Attendance- Month and Year
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Full Address
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Phone
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(###)
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####
Nationality (country issuing passport)
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Facebook Username
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Instagram Username
Tiktok Username
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Roommate preference
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Female
Male
No Preference
Private Room
Other
Have you been diagnosed with any mental health issue?
Yes
No
I choose not to disclose my private medical information (HIPPA rights will be upheld if in the USA)
Are there any physical limitations that need to be considered in regards to your health? Including heart issues, diabetics, stroke, high blood pressure, injuries, respiratory issues, allergies, strokes etc.
Are there any dietary limitations or allergies?
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Gluten
Dairy
Nuts
Vegan
Vegetarian
Other
How long have you been practicing yoga?
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0-2 years
2-4 years
4-8 years
8 years or more
How many days per week do you practice yoga?
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1-2 days
2-3 days
3-4 days
New to Yoga
What styles of yoga do you practice?
Hatha
Ashtanga
Yin
Hot
Vinyasa
Power
Other
Do you have a meditation practice?
Whats you highest level of education?
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High School
Bachelors Degree
Masters Degree
Doctorate Degree
Other
Please provide more details about educational certifications or trainings you have:
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Current Occupation and Number of Years:
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Are you fluent in English?
Yes
No
Are there any other physical activities you regularly participate in on a regular bases?
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Pilates
Weight Training
Running/Walking
Cross Fit
Swimming
Barre
Aerobics/Dance
Martial Arts
Other
Are you seeking certification as a yoga teacher or require continuing education credit ?
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Yes
No
Other
What do you know about The Healing Body Method? Why have you chosen to study with us?
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Where did you heat about The Healing Body Method?
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Web search
Facebook
Instagram
TikTok
Yoga Alliance
Word of Mouth
Event/Workshop
Other
If you were referred by a Healing Body Method Yoga teacher or graduate from one of our programs, please indicate the teacher and/or graduate’s name.
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Is there anything else you would like to share about yourself? Concerns, needs, likes, dislikes, biases, or things you are interested in learning?
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All applicants: Please complete your application by submitting a recent photo of yourself via email to thehealingbodymethod@gmail.com. The photo should be a clear headshot showing your face (no sunglasses). 300 YTT applicants: Please also email us your 200 hour yoga teacher training certificate.
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I understand my application is complete when I submit my photo via email (and if applicable, my 200 hr certificate)
I understand my spot in the training is not reserved until my deposit is paid. All deposits must be paid with in 72hrs of receipt of acceptance email from The Healing Body Method.
I acknowledge that all information submitted in this application is true and accurate to the best of my knowledge. I understand that incomplete or inaccurate information may result in my non-acceptance or dismissal from the program. I acknowledge that I have read the certification criteria listed above and online at www.thehealingbodymethod.com. I understand that should I be accepted to attend the The Healing Body Method Yoga teacher training, this application serves as my evaluation criteria. I accept by entering a date below and submitting this form that this validates my application with an electronic signature.
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MM
DD
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