REGISTRATION FORMVikasa Yoga teacher training Name* First Last Email* Enter Email Confirm Email Country*Contact No*Instagram Upload your photoAccepted file types: jpg, gif, png, pdf.Gender*MaleFemaleBirthday* Date Format: DD slash MM slash YYYY How did you find out about the course? (can select more than one)* Facebook Instagram Google Search Friend / Graduate Other If other, please describe:*Insert referral code from affiliate here if applicable:Affiliate Program - Get $100 extra Discount What was the primary reason for choosing this Yoga Teacher Training?*Early Bird Calculator* Date Format: DD slash MM slash YYYY Early Bird CalculatorWhich course would you like to attend?*100 hour REFRESHER YTT-100 - Oct 4 - 15, 2020 - From $1,500.00200 hour FOUNDATION RYT-200 - Oct 18 – Nov 15, 2020 - $4,000.00300 hour ADVANCED RYT-500 - Nov 22 - Dec 27, 2020 - $5,000.00300 hour UNIVERSAL RYT-500 - Nov 22, 2020 - Jan 3, 2021100 HOUR YIN YTT RYT-100 - DEC 6 - 20, 2020Room for Nov/Dec 2020 Advanced CourseYoga Cave - $2,100.00Zen Bungalow - $2,450.00Prana Cabana - $2,450.00Prana Cabana + - $2,800.00 (SOLD OUT)Lotus Pad - $3,150.00 (SOLD OUT)Meal plan option - accommodation not included - $875.00Room for Oct/Nov 2019 Foundation CourseZen Bungalow - $1,960.00 USDPrana Cabana - $1960 USD (SOLD OUT)Prana Cabana + - $2240 USD (SOLD OUT)Lotus Pad - $2,520.00 USD (SOLD OUT)Lotus Pad + - $2400 USD (SOLD OUT)I want more info about alternative accommodationMeal plan option - accommodation not included - $700.00 USDRoom for October 2020 Refresher CourseYoga Cave - $1,500.00 USDYoga Cave + - $1,550.00 USDZen Bungalow - $1,650.00 USDPrana Cabana - $1,650.00 USDPrana Cabana + - $1,750.00 USDLotus Pad - $1,850.00 USDMonthly Income*I am applying for this scholarship because...*What goals do you have?*What's included in the scholarship: - Tuition Fee - Meals (2 buffets per day) - Accommodation (chosen by Vikasa Team)Upload copy of your ID document*Accepted file types: jpg, gif, png, pdf.Can be drivers license, ID Card or any other document with photo.Which parts would you like to attend for Universal Yoga?UNIVERSAL YOGA - Nov 22, 2020 - Jan 3, 2021 - Full Course (3 Parts)UNIVERSAL YOGA - Nov 22 - Dec 21, 2020 - Part 1 & 2UNIVERSAL YOGA - Dec 21, 2020 - Jan 3, 2021 - Part 3 OnlyPart 1 & 2: Parts 1 and 2 are offered as a package. We do not offer Part 1 or Part 2 on their own.Accommodation: Full Course | 3 PartsYoga Cave - $7,656.00 USDZen Bungalow - $8,118.00 USDPrana Cabana - $8,412.00 USDLotus Pad - $8,714.00 USDLotus Pad + - $10,512.00 USDJust Course + Meals (no accommodation) - $6,060.00Accommodation: Part 1 & 2Yoga Cave - $5,172.00 USDZen Bungalow - $5,491.00 USDPrana Cabana - $5,694.00 USDLotus Pad - $6,593.00 USDLotus Pad + - $7,144.00 USDJust Course + Meals (no accommodation) - $4,070.00Accommodation: Part 3 OnlyYoga Cave - $2,784.00 USDZen Bungalow - $2,927.00 USDPrana Cabana - $3,018.00 USDLotus Pad - $3,421.00 USDLotus Pad + - $3,668.00 USDJust Course + Meals (no accommodation) - $2,290.00Room for April/May 2020 Foundation CourseYoga Cave - $1,680.00 USD (SOLD OUT)Zen Bungalow - $1,960.00 USD (SOLD OUT)Prana Cabana - $1,960.00 USD (SOLD OUT)Prana Cabana + - $2,240.00 USD (SOLD OUT)Lotus Pad - $2,520.00 USD (SOLD OUT)Meal plan option - accommodation not included - $700.00 USDContact us for other accommodation optionsEarly Bird Discount for Nov/Dec 2020 Advanced YTT Price: -$500.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Early Bird Discount for UYTT Nov 2020 Part 1&2 Price: -$400.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Early Bird Discount for UYTT Nov 2020 FULL COURSE Price: -$600.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Early Bird Discount for UYTT Nov 2020 PART 3 Price: -$200.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Room for Sep/Oct 2020 Foundation CourseYoga Cave - $1,680.00 USDZen Bungalow - $1,960.00 USDPrana Cabana - $1,960.00 USDPrana Cabana + - $2,240.00 USDLotus Pad - $2,520.00 USDMeal plan option - accommodation not included - $700.00 USDRoom for Oct/Nov 2020 Foundation CourseYoga Cave - $1,680.00 USDZen Bungalow - $1,960.00 USDPrana Cabana - $1,960.00 USDPrana Cabana + - $2,240.00 USDLotus Pad - $2,520.00 USDMeal plan option - accommodation not included - $700.00 USDEarly Bird Discount for September 2020 Foundation YTT Price: -$500.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Early Bird Discount for October 2020 Foundation YTT Price: -$500.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Room for Dec 2020 YIN YTTYIN YTT on Prana Cabana (All included) - $3,032.00 USDYIN YTT on Prana Cabana + (All included) - $3,228.00 USDYIN YTT on Lotus Pad Garden (All included) - $3,298.00 USDYIN YTT on Lotus Pad (All included) - $3,298.00 USDYIN YTT on Lotus Pad + (All included) - $3,704.00 USDJust Course + Meals (no accommodation) - $2,220.00 USDEarly Bird Discount for Dec 2020 YIN YTT Price: -$300.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.Rooms Availability & Exams *All rooms for all courses are subject to availability. *Please keep in mind that the $500 USD deposit will secures your room, otherwise we cannot guarantee you’ll have the room you choose available. *After submitting your form, please wait for confirmation from our team to ensure we have availability. Universal Yoga Note: *Prices include $100 USD per part for exam and certificate. If students do not wish to take the exam or get a certificate, their price is $100 USD less per part *Prior graduates are eligible for a 25% discount for the tuition component of their invoicePromo CodeThanks for subscribing! Here's your discount! Price: -$100.00 Total $0.00 Personal detailsWhat languages do you speak?*What is your current occupation?*Do you have any creative talents or professional hobbies?What is your yoga history?*Please provide details of any previous YTTs you have completed and your yoga teaching experience (if applicable)Do you have any injuries or medical conditions that may that may affect your yoga practice?*CommentsTerms and conditions. Please check all of the checkboxes. By submitting this form you agree to all of the following conditions:Due to limited spaces for Vikasa YTT throughout the year a deposit is required to secure the booking. A non-refundable $500 deposit is payable at the time of booking with the remaining balance due no later than 45 days prior to start of the course.* I understand that this teacher training course will be both physically and mentally challenging, with two yoga practices daily along with up to 6 hours of required class and workshop time * I understand that cigarettes, alcohol, and illegal drugs will NOT be permitted for the duration of the training * I am also aware that yoga is a physical practice and I take full responsibility for any injuries or accidents that may occur during the retreat as a result of my doing. I take full responsibility for my own health and well-being during the course and will not hold Vikasa Yoga or any of the teaching staff responsible for injuries or other medical problems that might occur * I understand that group meals cannot be custom ordered to fit personal needs or requirements simply because personal dietary preferences and needs vary so greatly. If I have specific nutritional needs, I understand I need to make arrangements myself * I understand that the course deposit of 500 USD is non-refundable and that remaining tuition paid is 100% refundable up until 45 days before course start date, after which time, it becomes non-refundable as well * I understand that Vikasa Yoga follows the curriculum guidelines of the Yoga Alliance; and therefore, requires all participants to show up, participate, and commit 100% to the course. Students who give 100% will almost certainly graduate successfully. Those who do not may jeopardize their certification * I understand that a positive, team-oriented, optimistic attitude is a requirement for all attendees. Disruptive, rude, or negative behavior will not be tolerated and may result in removal from the course * I understand the course will be taught in english language only. All materials provided will be in english language. * I understand that early bird discount applies only if I pay the deposit 90 days or more before the course starts. Signature*