Which YTT Program are you interested in? *

*200 & 300 hour programs are offered. 200 YTT is a prerequisite to 300 YTT.

200 YTT: 10 Month Program FEB - NOV 2021 —St. Louis

200 YTT: 10 Month Program Feb - Nov —Alton IL

300 YTT: 11 Month Program Feb - Dec - St. Louis

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

####

Have you ever taken a class from a West East Yoga teacher?

Yes

No

Do you have a regular meditation practice? *

Yes

No

Do you foresee any conflicts with your ability to commit to completing this training? *

Yes

No

Do you have a reliable form of transportation? *

Yes

No

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Have you had any surgeries? *

Yes

No

Do you have a history of respiratory or cardiovascular problems? *

Yes

No

Do you have any learning disabilities, physical, or psychological conditions that might impact your training? *

Yes

No

Location *

St. Louis MO - Main Campus

Alton IL