Iyengar Teacher Training

Registration

All information submitted to Austin Yoga Institute will be held in the utmost confidence. If you are concerned about web security, you may download the application instead and follow instructions to mail it to us. Submission of this application is not binding, it is an indication of serious interest.

Which Weekend:
Name:
Sex:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Email Address:
Date of Birth:
Have you studied yoga for a minimum of two years?
yesno
Have you studied Iyengar yoga for a minimum of one year?
yesno
Formal Education (including high school):

Work Experience (most recent first):

List the names, address and phone numbers of the yoga teacher(s) with whom you are currently studying or with whom you have worked and the length of time you have studied with or worked with them:

Physical conditions affecting yoga practice (e.g. heart problems, high or low blood pressure, diabetes, neck, back or knee problems, etc.):

List treatments/healing modalities you have tried or are trying for any of the above conditions, including any medications or herbal preparations you have taken or are taking:

Please describe any training you have had in anatomy or physiology (e.g. where you studied, how long, and in what year):

Why are you interested in joining the program?
	To become a teacher To deepen my practice Both Other