Name
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First Name
Last Name
Spiritual Name (If applicable)
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Let us know your preferred pronouns.
Email Address*
Address*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone*
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Country
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Your Birth Date*
MM
DD
YYYY
Emergency Contact Name
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First Name
Last Name
Emergency Contact Relationship (Spouse? etc)
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Emergency Contact Phone
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Country
(###)
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Personal Reference 1 - Phone
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(###)
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Personal Reference 1 - Email
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Personal Reference 2 Name
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Personal Reference 2 - Phone
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(###)
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Personal Reference 2 - Email
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Please share your current occupation. Or are you a college student?
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Are you a certified Yoga Teacher?
If Yes, which Yoga Tradition?
Have you practiced Kundalini Yoga?
How long have you practiced (Kundalini) Yoga?
If Yes: Where have you practiced Kundalini Yoga?
The names of the Kundalini Yoga Teacher(s) you've studied with. Include Online.
(Kundalini) Yoga Teacher Reference Name
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First Name
Last Name
(Kundalini) Yoga Teacher Reference Phone
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Country
(###)
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(Kundalini) Yoga Teacher Reference Email
Tell us about how Kundalini Yoga has been beneficial in your life.
Tell us about your primary interest in this teacher training; i.e., teaching Kundalini Yoga, deepening your personal practice, etc.
Can you imagine yourself making a quantum leap in inner growth, and devoting a year to the study, practice, and discipline of an in-depth teacher's training program?
Please describe your current health. Are there any health concerns that we should know about? If yes, please explain more.
I understand that this online space has a zero-tolerance policy for racism, sexism, homophobia, transphobia, ableism, ageism, classism, and body-shaming.
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Tuition Options
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Deposit: Before 10/1/23
Early Bird: Before 9/1/23: $3800
Regular After 9/1/23 - $4000
Installment Plan - $4200
Senior/Full time Student: 10% Discount
I identify as Black, Indigenous, and/or a Person of Color
I identify as a member of the LGBTQIA+ community.
How did you hear about our training?
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