Yoga Teacher Training Course RegistrationPlease complete the details below to enrolIf you have any questions please email info@shantarasa.com Name * First Name Last Name Address * Email * Phone Number Select your training * 200-Hour Yoga Teacher Training 300-Hour Yoga Teacher Training 500-Hour Yoga Teacher Training 60-Hour Foundations for Yoga Chikitsa 200-Hour Yoga Teacher Training RESIT 300-Hour Yoga Teacher Training RESIT 500-Hour Yoga Teacher Training RESIT 200-Hour Yoga Teacher Training (Study course only) 300-Hour Yoga Teacher Training (Study course only) 500-Hour Yoga Teacher Training (Study course only) Yoga Mentorship Occupation * Emergency Contact Name * First Name Last Name Emergency Contact Number * How did you hear about this course? * Internet Newsletter Classes Poster/Flyer Friend Other Where? If you selected "internet", "poster/flyer", or "other", we'd love to know where you found out about us! Do you have previous yoga experience? * If you do, please describe your experience. Do you have other qualifications in health and fitness modalities? * This includes yoga training qualification. For what reason are you intending to study with Shantarasa? * To teach To deepen personal practice and understanding For professional development Do you have any injuries or structural difficulties at present? * Have you had any medical procedures in the last 5 years? * Do you have any medically diagnosed conditions? * Have you experienced a diagnosed condition of depression/anxiety in the past 7 years? * How would you describe your present level of health? * How would you describe your present level of fitness? * Is there anything else we need to know to guide you safely in your yoga training program? Preferred name on course certificate? Payment method * DIRECT DEPOSIT (Preferred Method) Account name: Shantarasa Yoga BSB: 805 050 Account number: 102702920 *Please note your name as the payment reference Please send payment confirmation to admin@shantarasa.com If you would like to pay by credit card there is a 2% surcharge. Pay in full (bank transfer) Pay deposit + instalments (bank transfer) I want to pay by credit card PAYMENT, REFUND & COURSE DEFERMENT POLICY * • Non-refundable deposit $500 to secure training registration / with course deferment option • Fees are to be settled minimum 30 days prior to training if paying in one payment, or 7 days prior to each intensive if paying each intensive separately • Course refund available up to 14 days prior to course commencement less non-refundable deposit • No refunds after course commencement (course deferment will apply). In some situations where circumstances are unavoidable or extenuating some remittance can be negotiated. • Deferment of course or intensives available in consultation with course administrators • Enrolments after course commencement, payment settled on enrolment I agree to payment and refund terms and conditions Thank you!
