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Andrea Lowry: Ananda Yoga & Fitness
Andrea Lowry: Ananda Yoga & Fitness
Home
About
Blog
Schedule
RYT-200 Teacher Training
Workshops & Trainings
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Contact
Sign In
My Account
200 Hour Yoga Teacher Training Program Application
Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Cell Phone
*
(###)
###
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Home Phone
(###)
###
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Work Phone
(###)
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Occupation and Employer?
*
Length of time at current employment?
*
How many years have you been practicing yoga?
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How many times per week do you practice yoga?
*
What forms of yoga do you practice?
*
Who has influenced your practice? Who have been your primary teachers?
Do you practice meditation and/or pranayama? If so, share a bit here about your practice.
*
Are you currently teaching yoga? If yes, where are you currently teaching and for how long?
*
Is this your first yoga teacher training? If no, please list prior training(s).
*
Why are you interested in attending a training with Ananda Yoga & Fitness?
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What are your expectations for this training? What do you hope to achieve at the completion of this program?
*
In what way has yoga most profoundly affected your life?
*
Upon the completion of this program, do you plan to teach? If so, what are you most excited about sharing with your community?
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Medical History
Please complete the medical history section below. Please note that any of your responses will not exclude you from joining in the teacher training program.
High Blood Pressure
Low Blood Pressure
Heart Issues
Lung Issues
Diabetes
Cancer
Allergies
Hypertension
Headaches
Migraines
Insomnia
Join Issues
Thyroid
Stress
Anxiety
Depression
If you answered yes to allergies, cancer, or previous surgeries, please give discriptions and dates applicable.
How would you evaluate your current health?
*
Poor
Fair
Good
Excellent
Are you currently or in the past two years been under the care of a physicial or mental health care provider? Please type yes or now below.
*
Please list any medications you are currently taking.
Is there any other health-realted information we should be aware of?
By submitting this application, I confirm that I have read and filled out this application truthfully, and completed it to the best of my knowledge.
Thank you!