Thank you for your interest in Restorative Yoga Teacher TrainingPlease complete this application and submit your $150 deposit to complete your registration.Training for Yoga TeachersThis 55 hour course is for yoga teachers who have already successfully completed a 200 hour Level 1 yoga teacher training program. These 55 hours can be counted towards your Yoga Alliance continuing education requirements or if you are pursuing your 500 Hour certification at the Ananda Institute of Living Yoga this course is 55 hours toward your 300 hour certification.Name(Required) First Last Friends Call Me:Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone(Required)Email(Required) Are You Taking this Course of Yoga Alliance Credit?Have you taken this prerequisite course?(Required) Yes, Level 2 YTT credit Yes, for Yoga Alliance Continuing Ed I’m not sure please help me decide Tell us about your experience!How long have you been practicing restorative yoga?(Required)Have you practiced Ananda Restorative Yoga before?(Required)How many days per week do you practice, and for how long each day?(Required)When did you complete your Level 1 Yoga Teacher Training (RYT-200) and through what school?(Required)Please list any continuing education or additional yoga training you have completed.(Required)Please describe your restorative yoga experience, including any teaching you have done.(Required)What do you expect out of the program?Please describe what you hope to gain from Ananda Restorative Yoga Teacher Training program. When possible, please be specific in your description. This will help us serve you better during the program.(Required)Medical InformationAll responses are keep strictly confidential with lead teachers of this program only. We use this information to better assist you during the program. Briefly describe your overall health(Required)Describe any history (include dates) of back/spine/ neck problems and indicate whether they still give you problems.Describe any history (include dates) of joint problems (knee, hip, shoulder, wrist, ankle, etc) including joint repair/replacement surgeries.Blood Pressure(Required) Normal Low High When was your blood pressure last checked?Check any of the following you have or have experienced Diabetes Osteoporosis-Osteopenia Chronic headaches Ulcers Stroke Seizures Allergies Asthma Cancer Frequent Dizziness Please check all that apply.Do you have any other limitation, dietary restrictions, or health concerns? If yes, please explain.Are you currently seeing a physican or a therapist for any physical or psychological conditions?Are you taking mediation for any physical or psychological conditions?Practical ConsiderationsDescribe any commitments during the period of this program that would prevent your in person attendance? Please explainWe share (vegetarian) lunch together. Do you have any dietary restrictions?Submit Your Registration FormCertify(Required) I hereby certify that the information provided on this registration form is correct to the best of my knowledge.