You are on page 1of 2

200H Online Vinyasa Yoga Teacher Training 2020

Module 1: August 3-August 28, 2020


Registration Form

PERSONAL INFORMATION
Full Name Preferred Nickname

Age Sex Date of Birth

Mobile Number Email Address

Educational Attainment Occupation

Home Address

Emergency Contact Information


Name:
Relationship:
Contact Number:

Medical Information
Do you have any illnesses or injuries that we should be aware of? If yes, please explain briefly.

YOGA PRACTICE
How long have you been practicing yoga?

Where do you usually practice?

Please describe your personal yoga practice, including styles practiced, frequency and duration of
practice, pranayama, and meditation. Use a separate sheet if needed.

Besides yoga, what other sports or physical activities do you engage in?

1
200H Online Vinyasa Yoga Teacher Training 2020
Module 1: August 3-August 28, 2020
Registration Form

Why do you want to take this teacher training?

Signature over Printed Name Date of Registration

REGISTRATION PROCEDURE:

1. Please download and accomplish the registration form and send it


to contact@innerpowervinyasa.com. Subject line should be: “Vinyasa YTT August
2021 Registration Form - [Your Name]”.
2. For those availing of the installment rate, please request for a separate installment
agreement and submit a signed copy with your registration form.
3. Pay the regular rate of Php 100,000 or the agreed first installment of your payment
plan on or before July 15, 2021.
4. Send a copy of your deposit slip to contact@innerpowervinyasa.com to confirm
payment. Subject line should be: “Vinyasa YTT August 2021 Payment - [Your Name]”

MODES OF PAYMENT
● Cash - online transfer or over-the-counter deposit via BPI or BDO.
● Check deposit over-the-counter
● Credit Card via PayPal, full payment only, subject to fees.

You might also like