REGISTRATION FORMUniversal Yoga Teacher Training – 300 Hours Name* First Last Email* Enter Email Confirm Email Country*Contact No*Gender*MaleFemaleBirthday* How did you find out about the course? (can select more than one)* Facebook Instagram Google Search Friend Other If other, please describe:*What was the primary reason for choosing Universal Yoga Teacher Training?*Which course would you like to attend?*300 hour UNIVERSAL YOGA - Nov 26, 2019 - Jan 4, 2020 - Full Course (3 Parts)200 hour UNIVERSAL YOGA - Nov 26 - Dec 22, 2019 - Part 1 & 2100 hour UNIVERSAL YOGA - Dec 22, 2019 - Jan 4, 2020 - Part 3 OnlyAccommodation: Full Course | 3 Parts*Yoga Cave - $7,230.00Zen Bungalow - $7,620.00Beach Bungalow Standard - $7,815.00Beach Bungalow Superior - $8,205.00Ocean Room - $8,790.00I don't need accommodation - $5,500.00Accommodation: Part 1 & 2*Yoga Cave - $4,820.00Zen Bungalow - $5,080.00Beach Bungalow Standard - $5,210.00Beach Bungalow Superior - $5,660.00Ocean Room - $5,860.00I don't need accommodation - $3,650.00Accommodation: Part 3 Only*Yoga Cave - $2,780.00Zen Bungalow - $2,920.00Beach Bungalow Standard - $2,990.00Beach Bungalow Superior - $3,130.00Ocean Room - $3,340.00I don't need accommodation - $2,150.00Universal Yoga Note: *There's 3 exams (1 for each part) for this course. Each exam have and additional cost of $100. This amount can be paid after you complete the course and it's optional.Upload photo (head shot)*Accepted file types: jpg, gif, png, pdf.Promo Code/s: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?*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:* 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* This iframe contains the logic required to handle Ajax powered Gravity Forms.