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Registration
Payment Schedule and Options
Payment schedule and options are: A $300.00 deposit and completed application, due June 1, 2011 and:
Single payment:
$2,500.00 due no later than July 15, 2011 (Total $2,800.00) or
Two installments:
One of $1,300.00 due July 15, 2011 and one of $1,300 due November 1, 2011 (Total $2,900.00) or
Monthly Payments:
An initial payment of $600.00 due July 15, 2011 plus 6 monthly payments of $350.00 due on the first of each month beginning September 1, 2011 through February, 2012 (Total $3,000.00).
I agree to the following Payment Schedule:
Single Payment
Two Installments
Monthly Payments
I agree to the above selected Payment Schedule. Enclosed is my check in the amount required by the Payment Schedule.
I agree to provide the balance required not later than the dates set forth in the Payment Schedule.
I further understand that if any payment is more than 15 days overdue, I will not be allowed to continue in the program until my tuition fees are made current.
By submitting this application, I acknowledge and agree to the Payment Schedule above and understand that if I am admitted to the program, my $300.00 deposit will become non-refundable on July 15, 2011 and will be applied to my tuition.
I further understand that if I am admitted to the program, any payments made or received on or later than July 15, 2011 are non-refundable.
I understand and agree to the above.
I AGREE
Personal Information
First Name
Last Name
Address
City
State
Zipcode
Email Address
Telephone
Emergency Contact (Name & Tel#)
Agreement to Terms
I understand that, upon satisfying all of the requirements of the Vajra Pani Yoga Teacher Training, I will receive a 200-Hour Yoga Vajra Pani Yoga Teacher Certification and that the Vajra Pani's curriculum follows the criteria established by Yoga Alliance for certification at the 200-hour level.
I further understand that, should I fail to meet all of the requirements for certification, I may "make up" the missed elements of the program on my own, at my own expense. In this case, the "make up" work will require documentation provided to the Vajra Pani Yoga Teacher Training Program Director.
I understand that, in the extremely unlikely circumstance that my participation be deemed destructive, inappropriate or unethical, in the sole discretion of the Vajra Pani Yoga Teacher Training Program Director, I may be required to leave the program before its completion date and all amounts paid shall be forfeited.
I further understand that all materials, written, created by the Vajra Pani Yoga Training and provided to me in the course of this program, may not be copied, reproduced or distributed, in whole or in part, or by any means without written consent of the Vajra Pani Yoga Teacher Training Program Director.
I understand and agree to the above.
I AGREE
Cancellation & Refund Policy
If you are admitted to the program, any payments made or received on or later than July 15, 2011 are non-refundable. If application is returned to you due to over attendance or unfulfilled course requirements, you will be notified and your deposit will be refunded in full no later than August 1, 2011. If for some unlikely reason the training is canceled, a full refund will be given (including deposit and any tuition payments made).
A minimum of 15 participants are required to hold the training. In the event that the training is canceled or postponed due to low enrollment, a full refund will be provided.
Write a brief but complete description of your Yoga experience, including the style(s) that you have practiced in the past, with who you have studied and when.
Are you currently attending Yoga classes? If yes, tell where, with whom, how often, and what style(s) of Yoga.
Describe your personal Yoga practice. How often, how long, and what style(s) of Yoga do you currently practice?
Are you working with any particular challenges, injuries, etc.? If so, what are they and how are you addressing them?
What do you want to gain from this program? If you have specific wishes or areas of interest that you would like to explore, please explain. Please be specific.
Did you consider any other teacher training programs? Why did you pick this one? How did you hear about our program?
Do you want to teach Yoga? Why or why not?
Do you have any history of mental illness or instability that might affect your ability to do this intensive training? Do you have any additional comments or questions?
Click to submit your registration.