Dimensions of Yoga Application

Name *

First

Last

Email *

Email

Confirm Email

Phone *

select your course from this list *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What motivated you to undertake this course? *

What experience of Yoga do you have? *

How do you intend to apply what you learn in this course? *

If applying for Yoga Instructor Module, what prerequisites/prior learning have you completed?

Health *

I am in good physical and mental health
I take regular medication
I have an acute or chronic physical or mental health condition

This course will involve moderate physical movements. It will also involve practices which may exacerbate introverted states. You may be asked to provide further information.

Additional details of health conditions

Memberships and affiliations

Sharing and Learning Yoga Community Membership
Sharing and Learning Yoga Graduate instructor
Rocklyn Ashram Digital Ashram membership
SYTA membership
none applicable

All memberships need to be ongoing and current to be considered for any applicable discounts. We reserve the right to reduce or remove discounts at any time.

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