Yoga Spirit Academy
Ayurvedic Yoga Teacher Training Program
APPLICATION

To apply to the Yoga Spirit Academy Advanced Yoga Teacher Training Program submit this application and the $100 application fee ($50 for re-admission) to: Yoga Spirit Academy, 11134 E. 75th Place S., Tulsa, Oklahoma, 74133, or send your completed form to jparachin@cox.net and use a credit card on our website www.yogaspirittulsa.com. Note that the $100 application fee is waived for current and past students in good standing and graduates of Yoga Spirit Academy. The $50 re-application fee cannot be waived. If you have any questions, contact us at 918-261-9786. 

Course Enrollment
Once you are admitted into the Ayurvedic Yoga Teacher Training Program, you may enroll in a course by submitting an Enrollment Agreement and $50 deposit to the same address. Tuition in full is due 7 days before the start of the course.

Student Information

Name _____________________________  Male     Female   Age  _____
Nickname (if applicable) _________________________________________
Address  _____________________________________________________
City/State/Zip  ________________________________________________
Telephone (Home) 	 ________________ (Work) ______________________
(Cell) ______________________  Email ____________________________
Emergency contact (name, phone number, and relationship) _____________________________________________________________

Certification and Signature

 I am paying the $100 application fee by check,  online, or  in cash, OR  the fee is waived.  OR I am paying the $50 re-application fee. 

 I have answered the application questions completely and am submitting them with this application.

Signature:______________________________  Date:________________
  
                Please retain a copy of this application for your records 

Prerequisite: 

The prerequisite for enrollment is one of the following: completion of at least 100 documented hours of yoga teacher training or 300 documented hours of yoga teaching. 

If you are enrolling under the yoga teacher training prerequisite, list the courses    you have taken, the number of hours completed, and attach certificates or other documentation. Attach an additional page, if needed.

Course of study, address and 
phone number	Dates	Number of hours	

			

			

			

			

If you are enrolling under the yoga teaching prerequisite, list the locations and inclusive dates of your teaching, the number of hours you taught, and a contact person who can verify this information. Attach an additional page, if needed.

Teaching locations with address, phone number and contact person	Dates 	Number of hours	

			

			

			

			

Please answer the following questions on a separate sheet of paper:
 
1. Describe your current practice of Yoga.

2. How do you currently use your yoga teacher training? 

3. What experience, if any, do you have with Ayurveda?

4. How would you make use of advanced training in Yoga and Ayurveda?

5. Do you have any injuries that we should be aware of? If so, please tell us about them, including any contraindications your health care professional recommended to you. 

6. Please tell us about yourself: family, occupation, education, hobbies, etc.

7. Is there anything else that you would like to share with us?  

8. How did you hear about Yoga Spirit Academy?  

9. Looking ahead to the next year, are there dates you know you will be unavailable for training?