Name
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First Name
Last Name
Email
*
Phone
*
(###)
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Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you have a 200HR Yoga Teacher Training Certification?
If no, find information about Muddy Waters Yoga School's 200HR program here: https://www.muddywatersyoga.com/ytt
Yes
No
Have you done any other training/continuing education since you finished your 200 hour training? If so please list below:
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Have you taken the Trauma-Informed Resilience-Focused certification?
Yes
No
If yes, are you planning to retake or skip the course?
If you retake the course, tuition will not be pro-rated. If you skip the course, tuition will be pro-rated.
Retake the TIRF training weekend
Skip the TIRF training weekend
Have you taken the Myofascial Release + Yin Yoga Teacher Training certification?
Yes
No
If yes, are you planning to retake or skip the course?
If you retake the course, tuition will not be pro-rated. If you skip the course, tuition will be pro-rated.
Retake the MFR + YIN training weekend
Skip the MFR + YIN training weekend
Have you taught yoga after you completed your 200 hour certification? If so, please list the locations, when you started teaching, the approximate number of hours of your teaching experience and the number of classes you currently teach per week.
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Note: teaching experience is not required to enroll in the 300 Hour Training program.
What style(s) of asana/meditation do you practice/teach regularly?
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What have been your most significant learnings from your teacher training program(s) thus far?
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Why have you chosen this particular training and why at this time?
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What do you hope will change in your personal or professional life as a result of this program?
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Please include a short bio about yourself so we can learn a bit more about you.
*
Do you have any issues/concerns that might impact your ability to complete the time requisites for this Training?
*
Do you have any medical or physical challenges you'd like us to be aware of so that we can better support you in this training?
Do you have any mental/emotional/stress challenges you’d like us to be aware of so that we can better support you in this training?
Do you have any mental/emotional/stress challenges you’d like us to be aware of so that we can better support you in this training?
Do you have any special learning needs you’d like us to be aware of so we can better support you in this training?
Emergency contact name
*
First Name
Last Name
Emergency contact relationship
*
Emergency contact phone
*
(###)
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I understand that this is a substantial commitment and education in the study of yoga.
*
Yes
I have read the student catalog and understand and agree to all policies set forth by Muddy Waters Yoga School..
*
View the student catalog here: https://muddywatersyogaschool-300ytt-catalog.my.canva.site/
Yes
Did someone refer you to your program? We'd love to send them a big thank you.
Is there any other information you would like to share regarding your application?