250hr Embodied Yoga Facilitator Training Application After filling in the application form, please click ‘x’ in the top right corner and return to this page to pay your £300 deposit APPLY 250HR YOGA FACILITATOR TRAINING Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone number Country (###) ### #### What is your country of origin? * Where do you currently live? * How old are you? What are your pronouns? e.g. She/her, They/Them, He/Him Tell us a little bit about yourself. Your hopes, dreams, ambitions, current job, future aspiration * What is it about the course you are attracted to? * What are you hoping to get out of it? * How long have you been exploring yoga? * How did you hear about the course? What is your relationship to meditation? * Do you have a daily spiritual, movement or creative practice? * Tell us about it… What kind of teacher do you hope to be and what impact do you wish to have in the world? * Have you ever worked with a therapist? What was your experience? * Is English your first language? Yes No Have you had any major physical or emotional illness within the past 5 years? Yes No Are you under medical or psychiatric supervision? Yes No Please provide details of your emergency contact. * Name, Phone Number and Relationship to you If your application is successful, which payment plan are you interested in? * Deposit + balance in 30 days Deposit + 3 payments Deposit + 10 payments Deposit + 18 payments I have detailed above any known medical or physical concerns * Yes No I agree to the T&Cs * We will honor all cancellations and refunds for online trainings up to the start date of the training or course. Once the training has started you are financially committed to fulfil any payment plans or outstanding fees. If something comes up during the training and you need to defer then you are welcome to join us the following year but payments must be honoured. If you have had any major physical or emotional illness within the past 5 years, or are under medical or psychiatric supervision, you must notify us of the details at the time of booking. Please click the link and make sure you have read our policies before you submit your application. https://www.samavesayoga.com/terms-and-conditions Yes Hey love, thanks so much for taking the time to submit your application. We’ll be in touch soon with next steps. Collette x PAY YOUR DEPOSIT HERE