Yoga Journey 200-Hour Teacher Training Application Improve and intensify your own personal practice or move deeper and inspire others with your teaching. Taught by Sinda Anzovino, E-RYT, CTYMT, Owner & Director of Teacher Training and Lynn Culbertson, DPT, E-RYT. Our teacher training program meets the requirements of the 200- Hour Yoga Alliance Certification. Yoga Alliance is the nationally and internationally recognized registry for yoga teachers and yoga schools. A certificate will be given at the completion of the program along with applications for insurance and to become a Registered Yoga Teacher with Yoga Alliance. CPR with AED is heavily encouraged for all students to take. The program allows some flexibility to fit your schedule. The approximate training times will be 2-6pm on Saturdays and 6 Sundays 12:30pm-8:30pm during the training weekends. If you are unable to do all weekends you will be able to make up a maximum of 3 classes at an additional fee of $20/ hour to cover teaching time.  All hours missed must be made up at the expense of the student with the teacher the time was missed. *************************************************************************  ***Early Bird Discount: $100 off of full tuition when tuition is paid in full by August 15, 2008. DEADLINE SEPTEMBER 15, 2008 Brochures & applications currently available at the Studio or Online!  Call to get yours today! Our next teacher training will run from October 4, 2008-April 25, 2008! Classes will be conducted on Saturdays through the training period from 2-6pm.   The following Saturdays will have extended hours: 10/4, 2-8pm 4/11, 2-7:30pm   The following are the  Sundays that classes will be held from 12:30pm-8:30pm during the training Course: 10/19 11/2 3/15 3/29 4/5 4/19   ************************************************************************* Cost: $2300 +$175 for Books ***Early Bird Discount: $100 off of full tuition when tuition is paid in full by August 15, 2008. Price includes: Membership to Yoga Journey through duration of program Meditation Classes Yoga Journey Workshops 10% off Products during the training Monthly Reiki Healing Circle & Guided Meditation ************************************************************************** FEE SCHEDULE A $300 non-refundable deposit is required with application to apply by SEPTEMBER 15, 2008.  $1500 due upon receipt of letter of acceptance to the program.  The remaining $500 + $175 for books are due by OCTOBER 1, 2008.  Payment accepted by check or money order.  Students requesting to pay with credit card may do so with a 3.5% convenience fee.  All payments must be received in full prior to first class or trainee will not be allowed to attend first class and will have to pay to make time up.  Refunds will be given for cancellations up to two weeks prior to date of teacher training, minus 10% of full tuition.  Credit only to a future teacher training is given for cancellations made within 2 weeks or less prior to the teacher training.  If Yoga Journey cancels the teacher training, a full refund will be issued.  Yoga Journey reserves the right to amend this policy at its sole discretion. *********************************************************************** Name: Year you started practicing yoga: Do you already teach yoga: Is so where? Why do you want to become a yoga teacher? What are your goals? How did you hear about Yoga Journey? What styles have you practiced? Do you have any injuries? Have you had any previous surgeries? Are you on medication? Describe: Do you have any history of mental or emotional issues? Address: Email: Phone Number: I agree that I have consulted with my physician and have been found to be physically and emotionally able to complete the requirements of this Vinyasa Yoga teacher training program, which can be quite physical.  I agree that I will not hold Yoga Journey, or any of it's employees or affiliates responsible for any injury I may sustain due to my own involvement in this teacher training program. I understand that I am expected to have payment in full to Yoga Journey by OCTOBER 1, 2008 in order to begin the teacher training program on OCTOBER 4, 2008.  I agree that I have taken the minimum of 3 classes with Sinda which are required for me to apply to this program. I understand that it is my responsibility to make sure I am able to attend all classes during the training period.  I understand that I can miss a total of 3 classes during the training period; and that if used I will pay at the rate of $20/hour to make up each hour that was missed.  I understand that I am responsible for calling in advance if I will be missing class or if there is a chance of lateness.  I understand that during the training, arriving 10 minutes late or leaving 10 minutes early constitutes my missing an hour and will be my responsibility to pay at the rate of $20/ hour to make up the time with the teacher trainer it was missed with.    I understand that I must pass my written tests with an 80% to pass. I understand that this program and my deposit is non-refundable.  I agree to participate in Karma Yoga as set by Yoga Journey, RYS which is a part of my teacher training program experience and a part of my being in the Yoga Journey Community. I understand that if I choose to leave the teacher training program a partial credit (not refund) of time not used will be credited towards a future teacher training and that the difference will have to be paid to gain admittance into a future teacher training program.  Yoga Journey, RYS will calculate value of unused time. I understand that disrespectful or poor behavior that distracts or takes away from the experience of others may result in a non-refundable termination from the program at the sole discretion of Yoga Journey, RYS. I understand that at the end of the teacher training program I may need more time to practice my practical skills or fulfill my requirements and if that is the case I understand that I am responsible for paying for all costs associated with my fulfillments. I understand that no credits I have received from any other teacher training are transferable to the Yoga Journey Teacher Training Program.  I understand that not completing ALL of my Teacher Training requirements will result in non-certification.   _____________________________________________                                                    _______________ Signature                                                                                                                                 Date You can either bring or mail this form with a non-refundable deposit of $300, made payable to "Yoga Journey", to the studio. Yoga Journey Attention: Sinda Anzovino, E-RYT, CTYMT Owner & Director of Teacher Training 196 Maple Avenue, 2nd Floor White Plains, NY 10601 (914) 227-9375 www.yogajourney-ny.com