After carefully discerning if the Vishwa Yoga Teacher Training
Or Vishwa Yoga Journey (Training in India and/or Bali ) ~
the next step is to cut and paste the following into an email and send to:
V I S H W A Y O G A
T R A I N I N G
All information provided is kept confidential
Date of Birth:
Primary Phone #:
Emergency Ph #:
Emergency Contact's Name:
Have you had any prior yoga training?
If so, are you currently already an RYT 200 or RYT 300?
What is your Current Occupation / Position:
(If not engaged in work force, please summarize your activities, including any volunteer activities:)
What other work/service do you do or wish you were doing?
What inspired you to become a Yoga Teacher?
(..if not interested in teaching, What inspires you to come to a yoga training?)
(Feel free to provide as much detail as you wish, your goals, your expectations, etc.)
What's your current yoga practice like?
Rare____ 1 to 3 time a month____ 1 to 3 times per week ____ More than 3 times a week____ Daily ____
Is there any style of yoga you have been practicing in particular?
What style(s) are you interested in? (...if any in particular)
Please Note: Vishwa Yoga training is a wide-spectrum training. Self Transformation, on many levels and thru various means, is our primary goal. Though the practice of Asana (stretching/postures) plays a substantial role in this, we go well beyond posturing (and other typical yoga practices) to approach the deeper truths of what it means to be whole (a definition of yoga).
After reading the note above, are you even more motivated to take this training OR do you wish that it would mainly just stick to the teaching of yoga postures?
If self trained, what do you use for source/inspiration: (videos, books, etc.)
Describe your level of Fitness: (mental, emotional and physical)
Explain if under going care of a health care professional. List all current prescribed medications: (add another page if necessary)
Legal Matters of Significance: (Please explain if you have ever been convicted of a felony or arrested. Everything is kept in strict confidentiality.)
Anything else you would like to tell us???
One Reference: (Please exclude family members or spouse.)
Email or Phone number:
Release / Waiver
I, (student name) ____________________________________, hereby agree to the following:
Student is aware that participation in a sport or yoga program may result in accident or injury, and student assumes the risk connected with the participation in a sport or Yoga program and represents that Student is in reasonable health and suffers from no physical impairment which would limit their use of Cincinnati Yoga School's facilities - including all other locations holding classes run by Cincinnati Yoga School. Student acknowledges that William S Brashear (President) and Cincinnati Yoga School does not claim to hold a medical license nor operate licensed medical services and, therefore, will not render any medical services (including diagnosis of student's health conditions) that is to be considered as anything more than opinionated information and suggestions. Therein, Student specifically agrees that William S Brashear and Cincinnati Yoga School, its officers, teachers, employees, contracted employees, family and agents, including all other locations holding classes run by Cincinnati Yoga School - shall not be liable for any claim, demand, cause of action of any kind whatsoever for, or on account of death, personal injury, property damage, or loss of any kind resulting from or related to Student's use of the facilities or the participation in any yoga activity, sport, exercise, service (i.e. Thai Yoga Massage, Lotus Yoga CliniK, Yoga Teacher Training, etc.) or other services. workshops, activities within or without the club premises, and Student agrees to hold William S Brashear and Cincinnati Yoga School and all affiliates harmless from same. Furthermore,student agrees that CYS is under no obligation to give refunds, credits or reimbursements for missed or unused classes, yoga teacher training modules, workshops, services and other prepaid services that student elects not to attend.
Refund Policy: CYS operates hand to mouth, so once a refund is requested it is possible that the funds have already been allocated towards operating costs. Thus, refunds can be very detrimental to CYS operations. Therefore CYS in policy is under no obligation to give any refunds, which is also stipulated on the legal waiver above. Nevertheless, if someone requests a refund with a written explanation we will review and consider it. However, if we do decide to give a refund (though not due to any legal obligation) it could take up to 6 months for the full dispersal of whatever amount is decided upon, and may also come in small installments.
Please understand that this policy is not because of a lack of sympathy for anyone who requests a refund, but as a necessity to protect the ability of CYS to maintain well functioning services and operations.
By entering students full name below student agrees to all of the above.
(Student will also be asked to sign a hard copy of this waiver before beginning the training to be kepy of file.)
Full Name:_________________________________________________________ Date: _____________
A hard copy of this waiver is also to be signed and kept on file at CYS before beginning training.
*The term Student above also implies Buyer, Member, and Client