Rebecca Butler Yoga 100-hr Yoga Teacher Training Application

E-mail *

Name *

First

Last

Nickname

Date of Birth

How long have you been practicing yoga?

Please list all injuries, surgeries, accidents, physical ailments/impediments (current or previous)

How long have you been teaching yoga? Where? At what frequency?

What styles of yoga do you practice? What styles do you teach?

What other sports do you participate in / have you participated in?

What is your spiritual practice / life like?

What other yoga trainings / workshops have you participated in? With whom? When? Please describe.

Why do you want to do THIS teacher training?

What is your ultimate objective in teaching?

Do you have any concerns you want us to be aware of?

Are you undergoing regular therapy (physical or emotional)? If so, please describe.

Are you currently taking medication(s)? If so, please describe the purpose of the medications.

Please provide a link to 2 photos of yourself. 1) A headshot pose 2) A photo of you in triangle pose

These photos do not need to be professional photos, selfies are sufficient. To provide a link to a photo, consider using Google Drive, Dropbox or another free sharing service of your choice. Make sure your settings allow anyone with the link to view!

I have paid my $100 application fee by (please indicate which is accurate):

Check in the mail.
In person at studio.
Online with credit card.
Other (please disclose specifics):

Phone