300 Hour YTT Application Form

300 Hour Teacher Training Application
Advanced Yoga Studies at Revolution Community Yoga
w/ Theresa Murphy & Cindy Boulter
Training beginning Jan. 13, 2023
In order to receive a 500-hour teacher training certification you must have an existing 200 hour program certification from a certifying program. Please submit your application with your non-refundable deposit of $500. Once both are received we’ll be in touch. If you are not accepted into the program your deposit will be returned. If you have any questions, please contact the studio (info@YogaActon.com). Make checks out to Revolution Community Yoga, mail to Revolution Community Yoga, ATTN: Kyra Marino, 537 Massachusetts Avenue, Acton, MA 01720.

Name *

First

Last

Preferred Pronoun (she/he/they)

she
he
they
prefer not to say

Email *

Cell Phone # *

Home Phone #

Address (Street & #, City, State, ZIP) *

Date of Birth

Profession

Where and when did you complete your 200 yoga teacher training certification? *

List and describe your yoga teacher training experience including specialized trainings. Include schools, teachers, locations and dates. *

List and describe your yoga teaching experience. Please include the following: • How long you have been teaching and where • Level of classes you teach • Number of classes you teach each week *

What aspect of your yoga experience would you like to shine a light on thru this program? Or what do you hope to gain? *

What assets can you bring to this program? *

How do you intend to pay for the program? *

EARLY BIRD: 1 full payment of $3750 by 11/1/2022
EARLY BIRD INSTALLMENT PLAN: $3950 total paid in full by 6/1/2023 ($500 deposit paid by 11/1/2022)
LATE REGISTRATION: 1 full payment of $3950 after 11/1/2022
LATE REGISTRATION INSTALLMENT PLAN: $4150 total paid in full by 6/1/2023 ($500 deposit paid by 1/1/2023)

*All tuition options include a $500 non-refundable deposit to be paid at time of application submission.

Name

300 Hour YTT Application Form

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