Application for Yoga Teacher Training


I am applying for:

Tell Us About You:

Name

Address

 

Email

Phone Number

 

Emergency Contact 

 

 

Occupation

 

Date of Birth 

How did you hear about Flying Beach Yoga? How Did You Hear About Us?

 

Gender

Gender

 

Tell Us about Your Well-Being

List all of your injuries, past and present, and describe your overall physical health (major illnesses, surgeries, physical conditions).

 

This program requires a dedicated time commitment. Do you have any other major commitments (school, more than one job, or other?) that would prevent you from participating fully?

 

 

Tell Us About Your Yoga Practice

How long have you been practicing yoga? Please describe your practice in detail.

 

Why do you want to take the Flying Beach Yoga Teacher Training program? What are your expectations for the training? What do you hope to gain, learn, or improve?

 

Why do you practice yoga, and (if your plan is to teach,) why do you want to teach yoga?

List any relevant yoga education, trainings or workshops you may have taken along with teacher names and dates.

 

Agreement of Release and Waiver of Liability

I  understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. I understand I will receive information and instruction; including verbal and/or physical adjustments about yoga and health. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. It is my responsibility to consult with a physician prior to my participation in the yoga class.

I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the yoga class. I am aware I may be verbally or physically adjusted. I agree to take full responsibility for any risks, loss, claim, injury, damage or liability, known or unknown, which I might incur as a result of participating in the program.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not appropriate under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I knowingly, voluntarily, and expressly agree to accept full responsibility and assume the risk for my use of or participation in any and all classes, activities, apparatus, appliance, facility privilege or service, of any nature, which is owned or operated by Flying Beach Yoga, LLC and/or studios hosting Flying Beach Yoga, LLC live events.  While engaging in any class or activity operated, organized, arranged or sponsored by Flying Beach Yoga, LLC, either on or off their premises, I shall do so at my own risk, and hold Flying Beach Yoga, LLC, its employees, representatives and agents, forever harmless from any and all loss, claim, injury, damage, or liability sustained or incurred by me. I specifically agree to indemnify and hold harmless Flying Beach Yoga, LLC as to any loss, cost, claim, injury, damage or liability, sustained or incurred by participating in the classes, or through my use of the facilities or equipment of Flying Beach Yoga, LLC which is caused by an act or omission, whether negligent, intentional or otherwise, of an employee, representative, or agent of Flying Beach Yoga, LLC.

I, my heirs, or legal representative forever release waive, discharge and covenant not to sue Flying Beach Yoga, LLC for any injury or death caused by my participation in the yoga class My signature below constitutes my full acceptance of this waiver.

I hereby give my permission to use the recorded class content  to be used in news media and promotional segments, and to publish videos or audio transmissions for advertising, websites, public information, DVDs, and any other lawful purposes. I understand that although class content may be used for advertising, my and/or my child's identity will not be disclosed, and I do not expect compensation and that all photos/videos are the property of Flying Beach Yoga, LLC and it’s affiliates.

I have read the release and waiver of liability and fully understand its consent. I voluntarily agree to the terms and conditions stated above.

I hereby declare the information in this application is true and complete. I understand that providing false information is grounds for rejection of this application. I have read and understand all of the policies with respect to the training including program requirements and the cancellation and refund policy.

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Signature Certificate
Document name: Application for Yoga Teacher Training
lock iconUnique Document ID: 7a86218c78aa9e489fb8bc9d93e22f6c974c0838
Timestamp Audit
June 5, 2020 7:20 am EDTApplication for Yoga Teacher Training Uploaded by Michele Fedora - FlyingBeachYoga@gmail.com IP 50.88.147.4
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This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://flyingbeachyoga.com/
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