YogA Teacher training Application

Which YTT Program are you interested in? *
*200-YTT & 300-YTT programs are offered. The 200-YTT is a prerequisite to the 300-YTT.
Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Tell us about your Yoga background....
Have you ever taken a class from a West-East Yoga teacher?
Do you have a regular meditation practice? *
Do you foresee any conflicts with your ability to commit to completing this training? *
Do you have a reliable form of transportation? *
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone
Medical Questionnaire
Have you had any surgeries? *
Do you have a history of respiratory or cardiovascular problems? *
Do you have any learning disabilities, physical, or psychological conditions that might impact your training? *
Location *
Thank you for taking the time to introduce yourself to us. We can't wait to meet and get to know you better!

St. Louis, MO - Main Campus

1140 Dielman Road
Olivette, MO 63132

Alton, IL Location

221 E. Center Dr
Alton, IL 62002