Stephanie Keach : Vinyasa Flow Yoga Teacher Training, Workshops and Retreats

If you can not print just mail in all the information requested below along with payment. Address is below.

Name
Address
Phone
E-mail
Which program?	Live In Total Yoga - 230 Hour Teacher Training ____ Fall 2010 Program : Asheville ____ Fall 2010 Program : Chattanooga 23 Day Intensive Teacher Training Program 230 Yoga Alliance hour Total Yoga Immersion ____ July 8-30, 2010 - Asheville ____ July 19 - August 6, 2010, held in Chapel Hill, NC ____ September 16 - October 6, 2010 - Asheville If you are applying for an advanced studies course go here
Payment	Tuition does not include books. Live In Total Yoga : Asheville- 230 Hour Teacher Training Nine Weekend Program, Asheville ____ pay in full $2000 ____ pay $500 deposit, balance due in full at start of program or the payment plan is $315 first 5 weekends (totalling $2075) Live In Total Yoga - Chattanooga, 230 Hour Teacher Training ____ pay in full $2200 ____ pay $600 deposit, balance due in full at start of program or the payment plan is $335 first 5 weekends (totalling 2275) 23 Day Intensive Teacher Training Program - Asheville 230 Yoga Alliance hour Total Yoga Immersion - Asheville ____ pay in full $2150 ____ pay $500 deposit, balance due in full at start of program or the payment plan is $550 due each Monday during the Training. 23 Day Intensive Teacher Training Program - Chapel Hill, NC 230 Yoga Alliance hour Total Yoga Immersion - Chapel Hill, NC ____ pay in full $2600 ____ pay $600 deposit, balance due in full at start of program Cancellation policy
Name you prefer to go by
What is your gender, current age and state of health?
What is your profession?
Do you have any injuries? Please describe.
Are you currently on any medications, if so which ones and what for?
Describe your yoga experience, including teaching experience and current classes taught if applicable.
What is your intention for taking this program?
How do you plan to make the time for studying and practicing your Yoga?
What are your biggest challenges in life? And in Teaching if applicable?
Do you currently see a therapist?
How will you meet the financial requirements?
Anything else you want to tell me? Questions, comments or concerns.

Please include all information requested above with the possible exception of e-mail address. Please note by filling out this application it does not guarantee your acceptance to the program. Your application will not be processed until payment is received. You may submit payment and information via postal mail, to address below. You will receive in the mail detailed registration information from Stephanie within two weeks.

Stephanie Keach
AYC Teacher Training Programs
239 S. Liberty St.
Asheville, NC 28801
828-254-0380