Name *

First Name

Last Name

Phone *

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Date of Birth

For Vedic Astrology Chart

MM

DD

YYYY

Current practices *

Do you currently practice any of the following?

Prānayāma & Meditation

Asana

Kriya Yoga

Mudras

Dinacharya

Select Yoga Training *

Choose Your Yoga Alliance Designation. Starting with the 200 Hr training allows you to continue into the 500 Hr certification seamlessly—no new application or extra fees required.

200 Hr. Foundational Ayurvedic Yoga

500 Hr. Advanced Ayurvedic Yoga

Payment plan *

Please choose one payment plan:

200 Hr. Full Tuition Payment ($2,900)

500 Hr. Full Tuition Payment ($6,000)

$250 per module (200 & 500 Hrs.)

Payment options *

Please choose a payment option:

Zelle (US Only)

Venmo (US Only)

Revolut App (EU Only)

Bank Transfer (US)

Bank Transfer (EU)

Credit Card (with 5% convenience fee)

*

I understand that if accepted a non-refundable enrollment deposit of $500 is required to secure my place in the training.

I acknowledge that the remaining tuition must be paid in full one week prior to the program start date (unless on a payment plan).

I understand that this training may include physical movement, breathwork, and emotional exploration, and I take full responsibility for my health and wellbeing during the program.

I agree to inform the instructors of any injuries or conditions that may affect my participation.

I understand that all shared information is confidential and treated with respect.

I have read and agree to the program’s cancellation, refund, and payment policies.

I agree to conduct myself respectfully and ethically during the program in alignment with yogic principles.

I understand that a non-refundable application fee of $25 is required to process my application. I acknowledge that my application will only be considered after payment is received.

I agree to the Certification & Graduation Requirements as outlined at beginning of this application.

Date *

MM

DD

YYYY