Personal details Please select your training option * PLEASE SELECT YOUR TRAINING OPTION: 200 hours: January 2020 (18 days intensive) 150 hours Yoga Nidra Advanced Teacher Training: February / March 2020 200 hours: 9 weekends May - August 2020 200 hours: September & November 2020 (2x9 days) First Name * Last Name * Sex * Please select Male Female Prefer not to disclose Email * Mobile phone * Street Address * Suburb Postcode / Zip * Town / City * Country * Date of birth * Age * Nationality * Current occupation * Emergency contact details New Zealand Emergency Contact: Name * ? Relationship to you (parent, partner, husband / wife, friend, ...)? * Phone number * Town / City * Country * Other Emergency Contact: Name * ? Relationship to you (parent, partner, husband / wife, friend, ...)? * Phone number * Town / City * Country * Yoga experience Please provide brief details of your educational qualifications and professional training: (Certificates / Diplomas etc) * What is your motivation to undergo the Yoga Teacher Training? * Are you undergoing the training more for personal development or for becoming a yoga teacher? How would you describe the balance? F.e. 60% personal development, 40% teaching * For how long have you been practicing yoga? Which styles of yoga have you experienced / are you practicing? * What is your yoga practice based on; a teacher, a studio, an online resource, home practice? Please provide details. * What does your weekly yoga practice look like? * Have you experienced pranayama and meditation before? If so, please describe your experience briefly. * Health Do you have any injuries or pain in your body? * Did you have major injuries and / or operations during the last 5 years? * Do you live with the effects of significant long-term illness or other disability? * PLEASE SELECT Yes No Do you have any health considerations physical/psychological which could affect your learning and/or becoming a teacher to the public and/or registering with a professional association? * PLEASE SELECT Yes No How do you manage stress? * Do you take medication at the moment? Please provide details. * Do you have any dietary requirements (vegan / vegetarian / gluten free / sugar free etc)? * Accommodation options Select * PLEASE SELECT YOUR ACCOMMODATION OPTION: Private room. Communal bathroom facilities. Twin share room. Communal bathroom facilities. Marae style: sleeping in the yoga venue. Matress & pillow provided. Camping: bring your own equipment. No accommodation needed. How did you find out about Kawai Purapura Yoga Teacher Trainings? * Is there anything else you would like to let us know? I declare that I have read the payment, cancellation and deferral policy and student responsibilities (www.yogatraining.nz/important-information/) carefully, and I am in agreement with these rules and policies. I also understand and accept that Kawai Purapura can change or modify any of its policies without prior notification, during the tenure of the course, and even afterwards. I also declare that all the information provided in this application is true. - Please sign with your name. * ?
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