Teachers Training Registration

Full Name
Name you wish to be called by
DOB (dd-mm-yyyy)
Sex	MaleFemale
Address
Unit or Apartment
Street
City
State
Country
Postal / Zip Code
Phone
Daytime
Evening
Mobile / Cell
Email
Website

Course(s) with date and location you are applying for:

Chakra Meditation Chakra Meditation
Discovery Discovery	Date	Location
Chair Yoga Chair Yoga	Date	Location
Foundation Foundation	Date	Location
Pregnancy Yoga Pregnancy Yoga	Date	Location
Yoga - Holistic Healing A Yoga - Holistic Healing A	Date	Location
Yoga - Holistic Healing B Yoga - Holistic Healing B	Date	Location
Intermediate Intermediate	Date	Location
Advanced Advanced	Date	Location
Masters Masters	Date	Location

How did you hear about Knoff Yoga Teacher Training?	—Please choose an option—Knoff Yoga WebsiteInternetMagazineFriendOther
It is crucial for us to know how our limited advertising budget is working and we appreciate your help
How long have you been practising yoga and/or meditation?
Have you attended any previous Knoff Yoga Teacher Training courses? Where & when?
What style(s) of yoga and/or meditation have you studied and for how long?
Describe your current practice.
Who is / are your teacher(s)?
How long have you studied with your teacher(s)?
Do you teach yoga and/or meditation?	YesNo
Why are you interested in attending our Course(s)?
What do you hope to gain from our Course(s)?
What are your present challenges in yoga and/or meditation?
Describe your health
List all injuries, operations and illnesses
List any medications you are currently taking, and the reasons for taking them
Are you Pregnant?	YesNo
If so, when is your baby due?
Describe any other conditions(s) you believe we should be aware of
List other forms of exercise or sports you participate in

The Knoff Yoga Teacher Training Handbook is provided to you on day one of the Discovery Teacher Training course and is included in the fee for this level only. This Handbook is a requirement for every course level. If you do not have an up to date copy we can order one for you at the cost of $70 (which includes postage and handling within Australia) this charge will be added to your course fee and will be sent by mail to your provided address. Older copies of the Handbook are acceptable but may not include some of the current and updated content.

Order Teacher Training Handbook ($70)?	YesNo

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