YTT Application | Zia Yoga & Wellness

Yoga Teacher Training Enrollment Form

First Name

Last Name

Mobile Phone Number

Birthdate

Pronouns

Emergency Contact Name + Phone Number

List three principal commitments or values in your life currently. (Please list in order of importance.)

Describe your current wellness practices and what you do to maintain them.

What, if any, experience do you have with: Meditation/Mindfulness, Breathwork, Self-Inquiry and a physical yoga practice?

What if any wellness or leadership training have you completed? (name and date)

What do you hope to gain from this training for yourself?

How do you hope to use this training once you have completed it?

This program requires the time commitment of attending ALL the scheduled hours as well as coursework which include readings, writing, a regular asana practice, and outreach teaching. These can be completed in an average of 3-5 hours a week. Please explain how you will meet this commitment.

We will be in a strong physical practice with group work and self-inquiry. Do you have any pre-existing conditions that would impact your participation in the program? Are you currently on any medications or under physical or psychological care? (If yes please explain so we can support your well-being.)

This training will explore collective healing at the intersection of Yoga and social justice. Is there a specific community that you are part of or would like to impact with your outreach classes? Who are you going to serve and why?

Do you have any immediate questions or concerns about the training we can address for you now?

Which payment opton works best for you?

Early Bird: Pay in Full Now - $2220

Early Bird: 6-Month Payment Plan* Total Due Now - $300

Early Bird: 12-Month Payment Plan* Total Due Now - $300

*If you opt for a Monthly Payment Plan, your first installment of $300 is due upon submitting this application. Once your application is processed, you will be sent a separate invoice to set up your reoccurring monthly payments as follows:

6-Month Payment Plan: 6 monthly payments of $370
12-Month Payment Plan: 12 monthly payments of $185

Please keep me up to date on studio news and events.

I have reviewed and agree to the terms of the Progam Liabilty Waiver and Agreement.View agreement & Terms of Service

Your digital signature below certifies that you have completed this application truthfully and to the best of your knowledge and that you have reviewed, understand and agree to our refund policy, liability waiver, program agreement and all terms of service.

Your Signature

We have received your application. If we have questions, a member of our team will be in touch! Stay tuned for more details about your upcoming training!

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Yoga Teacher Training Enrollment Form