200-Hour Yoga Training & Teacher Certification
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Acknowledgment I, , (Print First and Last Name) acknowledge that I have read and that I understand the following documents: 200-Hour Yoga Training & Teacher Certification - Registration & Agreement (Initials) Form About YogaBody’s Training (Initials) YogaBody Studios 200-Hour Teacher Training Program Tuition & Fee Structure (Initials) Course Curriculum Requirements (Initials) Teacher Training Schedule (Initials) Name: Date: (Please Sign) 200-Hour Yoga Training & Teacher Certification Registration & Agreement Form Please note: Applicants who have been accepted into the program will be notified via e-mail within 7 days of application submission. Please READ and fill out this form COMPLETELY to register. Include your initials in designated areas and email to Mod Amaya & Sandra Winslow at [email protected]. NAME: ______________________________________________________________________ ADDRESS: __________________________________________________________________ _____________________________________________________________________________ PHONE: ____________________________________________________________________ EMAIL: _____________________________________________________________________ FACEBOOK: ________________________________________________________________ INSTAGRAM: _______________________________________________________________ EMERGENCY CONTACT NAME: ____________________________________________ EMERGENCY CONTACT PHONE: ___________________________________________ HOW DID YOU HEAR ABOUT US? ___________________________________________ REFERRAL CODE (OPTIONAL): _____________________________________________ YogaBody Studios 200-Hour Yoga Teacher Training (909) 247-1921 Please answer the following questions regarding your yoga experience (Please use a separate piece of paper, if needed. All applications are confidential.) 1. How long have you been practicing yoga? 2. Where are you currently practicing? Who are your teachers? 3. How many hours per week? What style/type of class? 4. Is this your first yoga teacher training? If not, please list other training programs attended with hours completed and dates. 5. Which specific aspects of this 200-hr Program attract you? Which subject/topic excites you most about this training? Why? 6. List your Goals/Intentions as you embark on this Yoga Training adventure. Do you want to become a yoga teacher or are you looking to deepen your personal practice? 7. Can you commit to the attendance and homework obligations outlined in the program description? If you have conflicts, please describe them so we can make alternative arrangements. 8. What other physical activities/sports are you involved in? * YogaBody Studios collects this information to get to know you. All answers are seen by our facilitators and kept confidential. We do not discriminate based on age, race, religion, sexual orientation or background. Questions are offered to better serve you as a student of our Teacher Training Program. We take pride in creating a safe space of acceptance, healing and unconditional love. We do not claim, nor desire to be an alternative for proper medical or psychological care. All applicants are screened and treated equally. YogaBody Studios 200-Hour Yoga Teacher Training (909) 247-1921 Program and Liability Agreement YOGABODY TEACHER TRAINING PROMOTIONAL EFFORTS _______(initial) At times, YogaBody teacher training staff may take photographs and make audio/video recordings of the training to promote the benefits of participating in its programs and activities. During any photography or recording, I can tell a YogaBody Teacher Training staff member that I do not wish to participate. I hereby consent to being the subject of any photographs or audio/videos made during my training. I grant permission for these to be published or posted in ways that promote YogaBody Teacher Trainings, classes and workshops and in perpetuity. THIRD PARTY APPLICATIONS REQUIRED _______(initial) I understand that I will be required to utilize various online and social media programs, including but not limited to email, WhatsApp, Facebook, Yoga Anatomy online program, video, and others, to communicate throughout the training and for certain homework assignments. CANCELLATION POLICY _______(initial) I understand that there are no refunds. I acknowledge that if, at any time, I decide to discontinue my participation in the YogaBody Teacher Training, any fees that I have paid are wholly non-refundable. I understand that I may receive a prorated account credit proportionate to the value of any unused YogaBody Teacher Training goods/services and that such credit may be utilized toward the purchase of other goods/services at YogaBody Studios. ACKNOWLEDGEMENT _______ (initial) I hereby release Scott Winslow, Sandra Alvarez as “Sandra Winslow,” Maria Elena Amaya as “Mod Amaya,” YogaBody Studios, Inc., and all YogaBody Studios faculty and guest teachers from any liability or responsibility having to do with my personal health and physical safety during teacher training. YogaBody Studios 200-Hour Yoga Teacher Training (909) 247-1921 ASSUMPTION OF RISK / RELEASE OF LIABILITY WAIVER ________ (initial) I am aware that participation in the YogaBody 200-hour yoga teacher training hosted by “YogaBody Studios” may be a hazardous activity. I acknowledge that a certain minimum level of physical health, strength, fitness, and flexibility will be required. I am voluntarily participating in these activities with knowledge of the risks of injury for which I will voluntarily assume. I acknowledge that I have read the LEGAL LIABILITY RELEASE and agree to the terms outlined in this entire document. LEGAL LIABILITY RELEASE As consideration for being permitted to participate in YogaBody Studios classes, activities, outings and travel, I hereby agree that I, myself, my assignees, heirs, guardians and legal representatives will not claim against, sue or attach the property of Scott Winslow, Sandra Alvarez as “Sandra Winslow”, Maria Elena Amaya as “Mod Amaya,” and YogaBody Studios for injury or damage resulting from my participation in any lesson, class, workshop, excursion or activity. I hereby release Scott Winslow, Sandra Alvarez as “Sandra Winslow,” Maria Elena Amaya as “Mod Amaya,” and YogaBody Studios and all agents and heirs from any and all such actions, claims or demands that I, my assignees, heirs, guardians and legal representatives now have or hereafter may have for injury or damage associated with my participation in ANY offerings of YogaBody Studios and for all claims, injury damages or liability suffered by me in connection with my participation. Individuals hereby acknowledge that before participating in an exercise program that they should consult with a physician. I have carefully read this entire agreement and fully understand the above contents. I am aware and agree that this is a complete release of liability voluntarily assumed for my participation in all activities With “YogaBody Studios”. __________________________________________________________________________________ Printed Name __________________________________________________________________________________ Signature Date YogaBody Studios 200-Hour Yoga Teacher Training (909) 247-1921 Criteria for YogaBody 200-Hour Teacher Training Certification Agreement _________(initial) I acknowledge that my being accepted, paying tuition, and participating fully in the YogaBody 200-Hour Yoga Teacher Training DOES NOT guarantee my certification. _________(initial) In order to be certified, YogaBody Studios 200-Hour Yoga Teacher Training requires that I attend ALL scheduled activities, workshops and classes offered during the program. Personal practice/studies & homework, and internship hours are all required to complete certification and must be done outside the class meetings on my own time in order to teach yoga with safety and clarity. I must possess a level of body awareness, mental stability, emotional maturity, communication skills and personal integrity to create and sustain the safe educational environment that supports the personal transformation of students. _________(initial) I understand that I have 1 year from the final date of the training schedule to complete all necessary requirements in order to complete the program and obtain certification. I will be evaluated by the YogaBody Teacher Training staff on the following criteria: • Ability to embody postures in proper alignment • 100% attendance and participation in all sessions • Timely completion of all homework assignments • Demonstration of learning through practice teaching • A 70% or higher grade on the final written exam and final presentation The YogaBody Teacher Training Staff will encourage and support your learning, integration, and demonstration of these skills throughout training. We will communicate with you regarding any areas of your learning we feel may require some level of improvement, providing you with many opportunities for you to address these areas and become proficient and certified. ______________________________________________________________________________ Printed Name _____________________________________________________________________________ Signature Date * PLEASE MAKE A COPY OF THIS ENTIRE FORM FOR YOURSELF BEFORE SUBMITTING YogaBody Studios 200-Hour Yoga Teacher Training (909) 247-1921 About YogaBody’s Training The YogaBody 200-Hour Teacher Training Program is intended for aspiring yoga teachers and serious yoga students who want to deepen their practice. This training is recognized