Salt
Spring Centre of Yoga
yoga teacher training 200 hour PROGRAM - APPLICATION FORM
Full Name __________________________________________________ Phone______________________________________
Email ______________________________________________________ Fax ________________________________________
Complete Mailing Address__________________________________________________________________________________
_______________________________________________________________________________________________________
Age __________ Gender __________ Occupation______________________________________________________________
3. Please list any Food Allergies: _________________________________________________________________
4. would you like to be housed with friends or family? Please list their names: ________________________
Rates for accommodation and tuition are calculated separately.
5. Accommodation
| Session 1 (13 nights) | Session 2 (10 nights) | Total Meals & Lodging | |
| Commuter | $ 546 | $ 420 | $ 966 |
| Camping (Own tent/van) | $ 689 | $ 530 | $1,219 |
| Dormitory | $ 923 | $ 710 | $1,633 |
| Triple occupancy | $1,014 | $ 780 | $1,794 |
| Double occupancy | $1,144 | $ 880 | $2,024 |
| Single occupancy | $1,365 | $1,050 | $2,415 |
Session 1: My first choice for accommodation is ________________________________________ at $ ____________
Session 2: My first choice for accommodation is ________________________________________ at $ ____________
6. Tuition AND APPLICATION FEES: $2110
7. Payment Plan: Yes, I am interested in the Payment Plan.
please forward
information_______.
A fee of $25 should accompany this application. This fee will be refunded if you are not accepted into the course. A Faculty
Advisor will contact you to discuss your application and the course within two weeks of our office receiving your application
(with the exception of applications submitted over the winter holidays). Acceptance into the program will be confirmed at the end
of the interview, with written notification of acceptance to follow. Once you have been accepted, a further payment of $475 is
required to reserve your space. The remainder of fees is 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.
8. How did you hear about this program?
Our web site ______ Internet ______ Brochure ______ Referral __________________________ Other ______________
yoga
teacher training 200 hour - questionnaire 1. Describe your experience with yoga (including
other yoga teacher training) With whom have
2. Have you practiced meditation and/or pranayama? Describe your experience.
3. Describe your current yoga practice. What does it consist of? Does
it include pranayama
4. Describe Any disabilities, Injuries, or medical conditions.
5. please List any medications you are currently using, and if you will be making any changes
6. Have you ever participated in an intensive residential training course
of any kind before?
7. Have you studied anatomy/physiologY Or Ayurveda?
8. Briefly describe any body/mind or spiritual practices you have been involved with.
9. What do you want to gain from this program?
10. Are you currently teaching yoga? (Please circle) No Yes Describe briefly.
11. Are you interested in teaching yoga? (Please circle) No Yes Undecided 12.. any Additional comments.
The Salt Spring Centre of Yoga |