Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you coming from one of our Partner Studios?

Deposit Submitted with Application?

Yes

Would you like more information on our payment plan?

Yes

No, will pay in full

Let us get to know you! The following questions are designed for us to get to know you as we prepare for our 200-hr training. We encourage you to be as open and honest as possible to ensure we help you meet your goals. There is no prerequisite for this program, all responses will be used for information purposes only and will be kept private.

How long have you been consistently practicing yoga and what types have you practiced?

Please describe your personal yoga journey. What lead you to yoga, what keeps you coming to your mat, anything you feel helps us to get to know you as a yogi.

Please describe your favorite yoga class – favorite poses, adjustments, breathing elements, any component of a class that you just LOVE.

What lead you to want to take a 200-hour training?

What are your personal goals in this program?

Please list any complimenting trainings you have taken (massage, reiki, fitness, etc)

Tell us about yourself outside of yoga. Hobbies, occupation, etc!

Are there any health concerns you think we should be aware of? Please note that anything you share will be kept private.

What most excites you about participating in a 200-hour training?

By submitting this application I acknowledge that the information I have provided is true and accurate to the best of my knowledge.

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383 Broad Street | Bloomfield, NJ

(T) 201.381.IRIS