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200hr Therapeutic Mindful Hatha Yoga Teacher Training

Application and Booking form

Title –

First name –

Surname -

Email address –

Address –

Your telephone or skype contact details –

Next of Kin contact details –

Date of birth –


Are you happy for your email to be shared with other course participants for travel sharing from the airport to the shared pick up point?



Date of course you wish to apply for –



What type of accommodation do you wish to book if accepted?



How did you hear about us? Google/IYT/Yoga Alliance UK/Yoga Alliance USA/Health and Yoga/Yoga Finder/Retreats in Spain/Global Yogini/OM Yoga or other (please state)




Please tell us a little about yourself, including your current occupation –




Please summarise in between 150 and 250 words why you want to train as a Therapeutic Mindful Yoga Teacher (please include details of any professional and personal goals)




What part of the programme are you most looking forward to?




Do you have a special interest in teaching a particular group or Health and Wellness programme? If so why?


Please include brief details addressing the following questions –


  • How long have you been practicing Yoga?



  • Which style of Yoga are you attracted to/practice most



  • How often do you practice Yoga?



  • Does your practice include Meditation? If so please give a few details



  • Is this in a class, at home or both?



  • What does a typical practice include?



  • What is your favorite part of the class or practice?



  • What is your least favorite part?



  • Please list any Yoga or Therapist training courses, qualifications and certificates you hold





Anything else you would like us to know –

Overall Health Questionnaire.


Please answer the following questions so that we can work together safely. If you answer yes to any of the questions and/or have any areas of concern, please give as much details as possible. All information given is treated with the strictest of confidentiality.


  • How would you describe your health overall?



  • If your body could talk, what would it say about its state of being?



  • Do you have any joint, muscle pain or areas of tension?



  • Do you ever become dizzy when standing up or with sudden movements?



  • What do you do for relaxation and stress reduction?



  • Do you have any special dietary requirements?



  • Have you had any mental ill-health within the last few years, such as anxiety or depression? If yes please tell us about it here -



  • If you are taking any medication at present, please say what it is and what it is for-



  • Have you had any disturbing life event in the last year, which may make the course difficult for you?



  • Any other information -