Alton IL Location

221 E. Center Dr
Alton, IL 62002

 
 

Alton IL - 200 Hour Application

Full Name
Full Name
What is your date of birth? *
What is your date of birth?
What's your phone number? *
What's your phone number?
Do you have a reliable form of transportation? *
Do you foresee any conflicts with your ability to commit to completing this training? *
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact 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? *
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? *
We can't wait to get to know you better.