yoga teacher training 200 hour PROGRAM - APPLICATION FORM
Full Name __________________________________________________ Phone______________________________________
E-Mail ______________________________________________________ Fax ________________________________________
Complete Mailing Address__________________________________________________________________________________
_______________________________________________________________________________________________________
Age __________ Gender __________ Occupation______________________________________________________________
3. emergency contact information:
Contact Name ________________________________________ Relationship ______________________________________
Phone ______________________________________________ E-Mail ___________________________________________
4. Please list any Food Allergies: _________________________________________________________________
5. would you like to be housed with friends or family? Please list their names: ________________________
Rates for accommodation and tuition are calculated separately.
| 6. Accommodation | Session 1 (13 nights) |
Session 2 (10 nights) |
Total Meals & Lodging |
| Commuter | $ 585 | $ 450 | $1,035 |
| Camping (Own tent/van) | $ 728 | $ 560 | $1,288 |
| Dormitory | $ 975 | $ 750 | $1,725 |
| Triple occupancy | $1,079 | $ 830 | $1,909 |
| Double occupancy | $1,209 | $ 930 | $2,139 |
| Single occupancy | $1,482 | $1,140 | $2,622 |
During Session 1:
My first choice for
accommodation is ________________________________________
at $ ____________
My second choice for accommodation is _______________________________________ at $ ____________
During Session 2:
My first choice for
accommodation is ________________________________________ at $ ____________
My second choice for accommodation is _______________________________________ at $ ____________
7. Tuition AND APPLICATION FEES: $2400
8. Payment Plan: Yes, I am interested in the Payment Plan.
please forward
information_______.
A fee of $50 should accompany this application. This fee will be refunded if you are not accepted into the course.
Once we have received your application you will be emailed within two weeks
to confirm your acceptance into the program. Included in that email
will be your student contract which needs to signed and returned with a
payment of $450 to reserve your space in the program. The remainder of all
fees are due by June 1 unless you have chosen the payment plan. Rates are quoted
in Canadian dollars and include all applicable taxes.
We now accept credit cards, but have not yet implemented on-line payments.
If you wish to pay by credit card, please contact us by telephone at (250)
537-2326. Your credit card number will not be kept in our files subsequent
to processing your payment. Please do not under any circumstances send your
credit card information by e-mail. We also take Canadian or US cheques and/or money orders. Payments in US funds will be credited toward program
fees at the prevailing exchange rate.
9. How did you hear about this program?
Our web site ______ Internet ______ Brochure ______ Referral __________________________ Other ______________
I hereby declare the above information is correct and complete.
Sign: _________________________ Date: _________________________
The Salt Spring Centre of Yoga
355 Blackburn Rd., Salt Spring Island, BC, Canada V8K 2B8
Phone: 250-537-2326 Fax: 250-537-2311 Email: yoga@saltspringcentre.com