Pura Vida Advanced Retreat
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| * First Name: |
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| * Last Name: |
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| * Email Address |
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| * Primary Phone |
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| * Secondary Phone |
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| * Street Address |
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| Address 2 |
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| * City: |
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| * State/Province: |
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| * Zip/Postal Code |
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* Country: |
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| *I have been practicing yoga for the following number of years (3 years minimum continuous study required): |
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| *I have been practicing Anusara Yoga® for the following number of years (1 year minimum continuous study required): |
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| *My level of understanding regarding Anusara’s Universal Principles of AlignmentTM is: |
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| *How thoroughly have you studied John’s Anusara Yoga Teacher Training Manual? |
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| * Are you able to perform the majority of asanas on the Level II Syllabus? |
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Additional Information: |
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| *Please list all Anusara Yoga Teacher Trainings, Immersions, and special workshops you have taken, as well as with whom you study for public classes. Please include the Anusara teacher, type of study (i.e., public class, workshop, teacher training, therapeutics, etc.), date, and number of hours. |
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| *Please record the total number of Anusara Yoga hours you have studied: |
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| *Please list your most influential yoga teachers other than the Anusara Yoga teachers that you listed above. How often and how long have you studied with them? |
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| What other schooling or training have you had that would provide a useful background to the training (i.e., chiropractic, medical, physical therapy, massage or other form of bodywork, etc.)? |
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Teaching: |
| *Do you teach yoga? |
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| How many years have you been teaching yoga? |
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| How many classes do you teach per week? |
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What is the average number of students that you teach per week? |
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| If you do not teach yoga, what is your occupation? |
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Additional Information: |
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| What Anusara Yoga teacher(s) could best give you a recommendation? |
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| Why do you want to attend this Anusara Advanced Retreat? |
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