Student Registration Form - Soul Tribe Studio

Student Application Form

Soul Tribe Studio - Teacher Training Level 1 - 200 hours
In order for us to process your application, we require a $500.00 non-refundable security deposit. Balance of the course fee is due two weeks prior to commencement of the course.
Student Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student E-mail
Mobile Number

Area CodePhone Number
Phone Number

Area CodePhone Number
How did you hear about us?
Emergency Contact
Contact Name

First NameLast Name
Relationship to Contact
Mobile Number

Area CodePhone Number

1. Yoga Training Experience

Part 1 - Please provide details of your yoga experience. Please include the styles of yoga practiced, how long you have been practicing yoga, and how regularly. Please include a description of your personal asana, self-study, meditation and pranayama practice if any?
Part 1 - Details
Part 2 - How does your yoga practice inform your daily life, your interactions and relationship with yourself, others and the world?
Part 2 - Details
2. Injuries

Please provide details of any injuries you have, including any surgery in the past five years or recurring physical ailments.
Injuries - Details
3. Special Support

Do you require any special assistance during the training course due to the above injury or medical condition? If so, please describe the type of assistance required.
Special Support - Details
4. What is your intention for undertaking this training? How do you think this training will serve you in daily life?
Intention - Details
5. Why did you choose Soul Tribe Studio for your 200 hour teacher training
Why Soul Tribe - Details
Agreement

I hereby state that the information I have provided in this application is true and correct.
Date

MonthDayYear
Date
Signature

Clear
Please transfer payment to:

Clare Lovelace

Commonwealth Bank
BSB: 062-514
Acc: 10357084
Should be Empty:

Student Application Form