Application Form Yoga Teacher Training

Application for Teacher Training
10 Feb 2024 - 15 Feb 2025

How to apply

Please complete the Application Form on this page.
We advise you to first complete it offline, and then copy and paste into the fields below, just in case!
All information you provide will be kept confidential and will not be shared with any 3rd party. Information you provide will help us to best serve you during the training.
The application requires a deposit of $450 to secure your place on the training. You may wish to pay in full on application.
In the unlikely event your application is declined any money paid will be refunded to you within 7 days.
As part of the application process and before participating in this program you’ll need to read and agree to the Terms and Conditions.

Personal Details

* Indicates required field

Legal Name *

First

Last

Preferred Name *

First

Last

Email *

DOB *

Gender *

Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact

Name *

First

Last

Phone *

Please answer these questions:

1. Describe your yoga experience. Please include teachers you have studied with and the methods or types of yoga which have been influential to you. *

2. How long have you been practicing yoga? *

3. Please describe your yoga practice; include content of practice and length of time spent on your daily personal practice. This can include asana, breathing, meditation or other practices you consider yogic. *

4. Are you already teaching yoga formally or informally? Please give details of your teaching experience and how long you have been teaching. Include the type of students and environments you have worked with. (e.g. beginners, seniors, special needs, meditation, friends or family). *

5. What is your educational background? (Please include any yoga training as well as other schools/qualifications you have attended and degrees or certificates received). *

6. What do you feel your main strengths and weaknesses are as a yoga practitioner and/or teacher? *

7. What is your intention for taking this training? Please describe why you want to be a yoga teacher, or why you wish to gain a deeper understanding of yoga & yourself though this training. *

8. What are your expectations upon completion of this training? *

10. Do you have any physical, psychological or emotional conditions which could affect your participation in this training? Please provide details. *

Are you intending to attend: *

In-person Online only Both in-person and online

What is your preferred payment method *

Payment Plan (6, 9 or 12 months) +$100 Extended Payment Plan (18, 24 months) + $200

I have read and agree to the Terms and Conditions

Select *

Yes No

I have answered these questions honestly and submit them as my application to this training.

Select *

Yes No

Final steps to book & pay

Click the SUBMIT button below to go to our BOOKING/PAYMENT PAGE (https://momence.com/s/80892236)
Select your preferred payment option (upfront, payment plan, earlybird)
Pay the $450 deposit through Paypal or by Credit Card. You also have the option of paying the full amount on booking.
If you prefer to pay by Direct Deposit select 'Book for free now and pay later' and make your payment to our bank account. Bank details are: KOOKABURRA YOGA BSB 016253 ACCT 155702373
To pay in full and receive EARLYBIRD discount of $200 select 'Book for free now and pay later' . Please transfer the full amount of $5,300 to our bank account by 8 November.
You will receive a Payment Information Email with details on how to pay the balance according to your choice of Upfront Payment or Payment Plan.
By submitting the Application Form and proceeding to the Payment Page you are agreeing to the Terms and Conditions. Please read them carefully before proceeding.

SUBMIT & PROCEED TO PAYMENT

yoga in harmony
with nature.

Application for Teacher Training10 Feb 2024 - 15 Feb 2025

Personal Details

Emergency Contact

Please answer these questions:

Final steps to book & pay

yoga in harmony with nature.

Application for Teacher Training
10 Feb 2024 - 15 Feb 2025

yoga in harmony
with nature.