APPLICATION FOR INTENSIVE 200h TEACHER TRAINING with EnergiZen in Costa Rica

August 4-19, 2018

Whether you are interested in learning to teach yoga or simply deepen your own practice, expand yourself awareness and transform your life, this Yoga Teacher Training is committed to the personal success of every participant. The participants will be immersed in a program rich in the full spectrum of all that is yoga: vibrant, purposeful, authentic, conscious, joyful, balanced, sacred, spiritual and transformative.

EnergiZen Yoga School will have you certified in the most popular and in demand styles of teaching. You will learn to develop your own sequences based on the needs of your students and based on what is authentic to you. You will have the foundation to lead others confidently, knowledgeably and safely.

Name:

Email:

Age:

Address:

City: State/Province: zip code/postal code:

Country:

Phone:

Emergency contact for you while you are in Costa Rica at the YTT:

Name, Address, Telephone #, Relationship and Email of your contact please:

How long have you been doing yoga?

Who have been your primary teachers or influences in yoga?

What style of yoga do you primarily practice? How many hours a week do you practice?

What other types of mind/body practices or healing modalities do you do? I.e. Mediation, dance, work out, massage therapist, Reiki, tai chi, chi gong, martial arts etc.)

Why are you interested in EnergiZen Teacher Training?

Are you currently a yoga teacher? If so, where?

Are you looking to become a Yoga Teacher or just deepen your overall understanding of yoga?

How did you find us?

What are your expectations for this training? What do you hope to achieve at the completion of the program?

List any other training you have completed:

Do you have any physical limitations, injuries, or medical conditions we need to know about?

DEPOSIT FEE

A deposit fee MUST be received at time of application. No application will be considered without the non-refundable deposit fee. This can be paid via Paypal (info@energizen.com), bank deposit or direct payment.

Deposit is $500 USD of the total fees due (applied towards balance of payment).

Payment in full required 46 days in advance of the session start date. NO refunds or transfers to a later session within 45 days of the session start date. Payments are refundable with written notice up to 46 days prior to session start date, minus your $500 non-refundable registration deposit. Transfer of attendance to a later session allowed within 12 months with written notice at least 46 days in advance of session date.

Please note that the individual, not EnergiZen, will be responsible for incurring the cost of any online banking transactions should it be deemed necessary.

A serious commitment is necessary from participants. Space is limited.

To reserve your place in the training you must submit your completed application along with your deposit and sign the bottom of page, “The Agreement”.

CANCELLATION POLICY

Once you are accepted for the course, the deposit becomes non-refundable. The full fee is due 46 days before the start of the course and once the course starts, there is no refund. In case of an emergency, you may apply the fee to another course within one year of the course for which you originally registered. The fee is not transferable. If fees are not paid in full 46 days prior, there is a late fee charge of an additional $200USD.

THE AGREEMENT

I agree to attend all training hours and participate as best I can in all studies. I agree to arrive on time and in good humor, and ready to learn. I understand that I must do my best to cooperate with everyone in the program (teachers and students) and that this is an intense program, not a vacation. I am ready for the yoga teacher training 200-hour intensive course. Lack of participation and/or disruptive behavior may lead to expulsion from the program and non-achievement of the certificate/program. If I am uncomfortable with any physical aspect of the training (ie: handstands/arm balances, etc.) I will attend, listen, learn but not participate due to my inability, apprehension and/or discomfort.

Sign here: ______________________________________ Date: _______________________