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Applied Ayurveda
Course Registration
Please complete the details below to enrol
If you have any questions please call us on 0407392666
Name
*
First Name
Last Name
Address
*
Email
*
Phone Number
*
Occupation
*
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
How did you hear about this course?
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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 or ayurveda experience?
*
If you do, please describe your experience.
Do you have other qualifications in health modalities?
*
This includes yoga training qualification.
Do you have any injuries or structural difficulties at present?
*
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?
*
Do you have any food allergies or intolerances?
*
Detail
Is there anything else we need to know to guide you safely in this training program?
For what reason have you chosen this course with us? How do you intend to apply it?
Select your training
*
Adelaide - Applied Ayurveda
Adelaide - Yoga Psychology & Meditation
Adelaide - Pre-Postnatal Yoga Teacher Training
Adelaide - Yoga Nidra Training
Preferred name on course certificate?
Payment method
*
Pay in full $1200
Payment Plan 12 x $100 weekly
PAYMENT, REFUND & COURSE DEFERMENT POLICY
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• No refunds after course commencement (course deferment may apply) • Deferment of course or intensives available in consultation with course administrators
I agree to payment and refund terms and conditions
I understand this is a post graduate yoga course or personal study program. I understand that I will not be qualified to advise as an ayurvedic practitioner.
Yes, I understand
Thank you!
