REGISTRATION FORMVikasa Yoga teacher training 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 Vikasa Yoga teacher training?*Which course would you like to attend?*200 hour FOUNDATION RYT-200 - Apr 7 – May 5, 2019 - $4,000.00300 hour ADVANCED RYT-300 - May 8 - Jun 12, 2019 - $5,000.00200 hour FOUNDATION RYT-200 - Sep 15 – Oct 13, 2019 - $4,000.00Room for April/May 2019 Foundation Course*Yoga Cave - $900 USDZen Bungalow - $1200 USDBeach Bungalow Standard - $1200 USDBeach Bungalow Superior - $1500 USDOcean Room - $1800 USDI don't need a room - $0.00Room for May/June 2019 Advanced Course*Yoga Cave - $1,125.00Zen Bungalow - $1,500.00Beach Bungalow Standard - $1,500.00Beach Bungalow Superior - $1,875.00Ocean Room - $2,250.00I don't need a room - $0.00Room for Sep/Oct 2019 Foundation Course*Yoga Cave - $900 USDZen Bungalow - $1200 USDBeach Bungalow Standard - $1200 USDBeach Bungalow Superior - $1500 USDOcean Room - $1800 USDI don't need a room - $0.00Promo CodeThanks for subscribing! Here's your discount! Price: -$100.00 Early Bird Calculator* Early Bird CalculatorEarly Bird Discount for April 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 May 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 September Foundation YTT Price: -$500.00 Early Bird discount applies only if you apply and pay at least 90 days before the course starts.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?*Do you have any injuries or medical conditions that may that may affect your yoga practice?*CommentsUpload photo (head shot)*Accepted file types: jpg, gif, png, pdf.Terms 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* Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.