Yoga Teacher Training and Certification in New York, NYC

Joschi Yoga Institute - New York City
Internationally Accredited Yoga Alliance Registered School

Teacher Training Application

Please complete this application online or print it out
and fax it to 212. 627.2251

Please register me for:
3-month Fall 2010 Teacher Training Program
4-week Fall 2010 Teacher Training Program
3-month Winter 2011 Teacher Training Program

Personal Information

Name:

Date of Birth:

Address:

Address line2:

City:

State:

Country:

Zip/Postal Code:

Phone Number:

Email Address:

Emergency Contact Name:

Emergency Contact Phone:

About You

What style of yoga do you practice?

Where?

With whom?

For how long?

How many times a week?

Do you have a home practice?

Do you practice meditation and/or pranayama?

Please tell us about your health: injuries, conditions, illnessess

Please list any medications you are taking

Are you pregnant?

Is this your first teacher training?

Are you currently teaching yoga?

If yes, where?
For how long?

In your opinion what embodies a good yoga teacher?

Why do you want to take the joschi teacher training?

What are your expectations of the joschi teacher training?

Registration and Credit Card Authorization Agreement
I understand Joschi Yoga Institue will review my application and notify me of acceptance as soon as possible.

Payment Plan

Application Date	Tuition	Payment Plan
At least 2 months prior to start date	$2,280 SAVE $300	$800 on acceptance date $750 1 month before start date $730 15 days before start date
At least 1 month prior to start date	$2,350 SAVE $230	$1,500 on acceptance date $850 15 days before start date
Thereafter	$2,580	on acceptance date
Enjoy UNLIMITED YOGA CLASSES during the duration of your Teacher Training Program!

Credit Card Information

Credit Card Type:

Name on Card:

Credit Card Number:

Expiration Date:

Month Year

Billing Address:

By clicking YES below I authorize Joschi International, Inc. to initiate credit card debit entries for tuition payment according to the schedule set forth above. I further understand and agree that each payment is non-refundable and yoga teacher training programs are not transferable or exchangeable to other dates.

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