Street Yoga Training Application

We appreciate you taking the time to fill out this application. Once we receive your application, you will receive a confirmation.

Thank you and Namaste.

Cost

Cost: $290. $100 deposit is due upon registration and is required to hold your space; the $190 balance is due 10 days before the training. We do appreciate full payment in one transaction, if possible.

Refund Policy: The $100 deposit is non-refundable. The balance of the training ($190) is refundable up to 10 days before the training. After that point, it is non-refundable.

Payment Plans: If these payment policies create a hardship, contact adrienne@streetyoga.org.

Application

Select Training

Portland, OR (August 27-29, 2010)
Washington, DC (September 10-12, 2010)
Los Angeles, CA (October 1-3, 2010)
Toronto, ON (November 12-14, 2010)
Houston, TX (December 3-5, 2010)
New York, NY (January 14-16, 2011)

Basic Information

First Name

Last Name

How did you hear about the training?

Communities you are interested in working with

General Yoga Outreach
Homeless
Immigrant & ESL
Incarcerated
Mental Illness
Overweight & Obese
Prenatal
Sexual Trauma Survivors
Substance Abuse & Recovery
Torture/Trauma Survivors
Under-Serviced
Youth
Any of the above

Yoga Practice

Years practicing yoga

Years teaching yoga

Please describe your yoga practice

Yoga certifications and years

Yoga qualifications

Styles of yoga

Experience

Relevant volunteer experience

Relevant employment experience

Additional helpful experience

Contact Information

E-mail

Phone number

Phone type
Mobile
Home
Office

Home address

Street

Street 2

City

State

Zip

Payment Details

Paypal
Check
Credit card over phone

Expected payment date

(mm/dd/yyyy)

Whose name (if not yours) will appear on the payment?

Links