<p> Application for Mother and Baby Yoga Teacher Training With with Uma Dinsmore-Tuli</p><p>Venue: 1 Britannia Row, Islington, London N1 8QH </p><p>Fri, Sat, Sun and Mon 7th – 10th June and Frid, Sat and Sun 27th to 29th September 2013 (total 7 days) 10am - 5pm each day.</p><p>NAME ______</p><p>ADDRESS ______</p><p>______</p><p>EMAIL ______</p><p>CONTACT TEL NUMBERS ______</p><p>AGE ______</p><p>Are you fluent in both written and spoken English? Yes  No </p><p>The course is designed for existing yoga teachers who already have a yoga teaching qualification and teacher trainees. We will however consider, on a case by case basis, applications from teachers, parents and people qualified in a complementary health discipline who have a strong personal yoga practice, who want to teach yoga to families. If this applies to you please state your qualifications and describe your yoga practice below, continuing on a separate sheet if you need to.</p><p>A) About you Are you a qualified yoga teacher or teacher trainee? (please circle one) YES / NO </p><p>For teachers: What yoga teaching qualification do you have? When did you gain this qualification? How long have you been teaching yoga?</p><p>© Yogacampus 2012 Yogacampus is the trading name of The Life Centre Education Limited, registered number 4375834, registered office Queen Alexandra House, 2 Bluecoats Avenue, Hertford SG14 1PB For trainee teachers: Which organization are you training with? When will you finish your yoga teacher training?</p><p>For all other applicants: What relevant qualifications or work experience do you have that draws you towards teaching family yoga? Please describe in detail your yoga practice (length of time, style, how frequently you practice, main teachers, classes/workshops attended in the last year).</p><p>B) Your interest in this course</p><p>1. What specifically is of interest to you in teaching family yoga? </p><p>2. Do you have any previous experience of teaching family yoga? Please describe it. </p><p>© Yogacampus 2012 Yogacampus is the trading name of The Life Centre Education Limited, registered number 4375834, registered office Queen Alexandra House, 2 Bluecoats Avenue, Hertford SG14 1PB C) Is there anything else that is relevant to your application? Please let us know if you have any current health consideration. If you are pregnant you are welcome on the course however please do let us know your due date.</p><p>Course fees, transfers and cancellation</p><p>The course fee is £675 payable on booking by cheque or debit / credit card.</p><p>Cheque made payable to Yogacampus (enclosed) □</p><p>Debit / Credit card (not American Express of Diners Club). □ (We will call you to process your credit card payment over the phone)</p><p>Please note that you are booking a course and must commit to attending the entire course to receive your certificate. You may cancel this booking up to 30 days before the course start date although we will charge you an administration fee of £25. If you wish to cancel within 30 days of the start date then there will be no refund, unless there is a waiting list for this course and we can transfer your booking to another applicant.</p><p>Courses will run only if there are sufficient numbers.</p><p>Please sign and date the booking form below and return it to: </p><p>YOGACAMPUS (Head Office address), Suite 10 - Redan House, 27 Redan Place London W2 4SA - Tel : +44 (0)207 042 99 00/ 01 - Email: [email protected] </p><p>SIGNATURE …………………………………………………………. </p><p>DATE………………………………..</p><p>© Yogacampus 2012 Yogacampus is the trading name of The Life Centre Education Limited, registered number 4375834, registered office Queen Alexandra House, 2 Bluecoats Avenue, Hertford SG14 1PB</p>