200TT Sama Yoga Teacher Training Application

Name *

Date of Birth *

Street Address *

City *

State *

Zip Code *

Preferred Phone *

Email *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship *

How do you define or explain yoga when asked by someone who has never taken a yoga class? *

How long have you been practicing yoga? *

How often do you practice? *

What role does yoga have in your life on a personal level? *

Please describe any experiences you feel may be relevant to your training and teaching. *

What do you hope to accomplish and realize by participating in this training? What aspects and styles of yoga are you most interested in learning more about? *

How did you hear about our program? *

Is there anything else that you would like to share with us about this journey, about yourself, your motivation, your expectations or your experience? *

TERMS OF THE SAMA YOGA CENTER YOGA ALLIANCE® 200-HOUR TEACHER TRAINING *

I accept

Please read the terms and conditions carefully. By signing and submitting , I understand that, upon acceptance into the Sama Yoga Teacher Training, I agree to all terms listed here, and that my deposit and any tuition paid are non- refundable should I, at any time, choose not to continue or complete the program.

If unusual circumstances prevent me from completing my training or satisfying my requirements, I may be permitted to complete or “retake” missed parts of the program during make-up sessions at the additional cost of $100/hour, per person. Requests for make-up sessions must be made in writing, and approved by the director. I understand that missing more than one day of the program may result in my not graduating the training.

I understand that Sama Yoga Center will not release my certificate until all requirements are completed. Graduation from the Sama Yoga Teacher Training is based upon my ability to show proficiency in the training curriculum, teaching dialogue, and requirements stated in the manual.

I understand that Sama Yoga Center reserves the right to ask me to leave the program at any point if my behavior is destructive, inappropriate, or unethical. In these circumstances, I understand that all tuition paid will not be refunded.

I understand that all Sama Yoga Teacher Training materials, written or electronic, created by Sama Yoga Center and provided to me during the course of this program are not to be copied, reproduced, or distributed, in whole or in part, or by any means without express written consent of Sama Yoga Center.

I grant Sama Yoga Center and its legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs or videos of me, or in which I may be included, for editorial, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Sama Yoga Center and its legal representatives and assigns from all claims and liability relating to said photographs/videos.