Teacher Training Application This information in this application is considered confidential. Personal DetailsName* First Last Which training are you applying for?*Mexico Summer Intensive 2017Fall 2017 Brooklyn Weekend Module TrainingAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Emergency Contact Name*Emergency Contact Number*Application DetailsHow did you hear about our Teacher Training?*What is your yoga background/experience?*Please tell us about your health: injuries, conditions, illnesses or anything else that may impact you, your practice, participation and/or ability to teach.*Why do you want to do this training?*What has yoga taught you about yourself?*What are some of the qualities you admire in your favorite teachers?*Anything else you’d like to share about yourself?*Payment InformationApplication Fee: $100 After submission of this form, you will be redirected to our mindbody site where you can pay the fee. Refund Policy: A non-refundable deposit of $100.00 is required with your application. If accepted and enrolled, this fee will be deducted from your final tuition.EmailThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle AJAX powered Gravity Forms.