Name
Full Mailing Address
City
State
Zip
Phone
E-Mail
Occupation
Age
Gender
   
How did you hear about this training program?
   
How long have you been practicing yoga and do you have a regular yoga practice?
 
Do you teach? Have you attended any workshops or trainings?
 
What teachers or books are your inspiration and why?
 
Do you meditate? What are your feelings on meditation?
 
What do you hope to achieve from the bodylifemind teacher training and what about this program inspired you to apply?
 
What are your expectations from this training?
 
What else would you like to share with us?
 
MANDATORY:
  
Do you have any physical limitations, if so, what?
 
Are you under the care of any health care professionals?
   

Please click SUBMIT on this application form to reserve your space.
You will then be directed to a payment screen for your $150 deposit.
This payment will be deducted from your tuition cost if accepted.
Deadline for application is 30 days prior to the start of the program.
Limited to 10 applicants.

Cost: $1895.00 in full
Installments: 1995.00 Installment plan
All material and field trip included!

 
 
Hilton Head Island
healthy body, inspired life, peaceful mind
email: rickard3@hargray.com
843-247-0219