YTT Price: Free First Name: First Name Required Last Name: Last Name Required Address Line 1: Address Line 1 is not valid Address Line 2: Address Line 2 is not valid City: City is not valid Country: Country is not valid -- Select Country -- United States (US) Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe State/Province: State/Province is not valid Zip/Postal Code: Zip/Postal Code is not valid Home Studio:* Home Studio is Required Crofton Yoga Evolations Yoga AtlantaEvolutions AnnapolisF.U.N.Heart RevolutionMain Street YogaRaven's WingSalt TreeSantoshaSun Lily YogaThe Yoga CenterWhole Body YogaYoga at Simply WellNone of the Above How did you hear about this?:* How did you hear about this? is Required -----------------WebsiteHost StudioSocial MediaOther Today's date:* Today's date is Required Which course are you registering for?:* Which course are you registering for? is Required ---------------------200 YTT w/ William (beginning 04/23/21)200 YTT w/ Kim (beginning 09/17/21) Nickname:* Nickname is Required Phone:* Phone is Required Birthdate: Birthdate is not valid I Identify my gender in the following way:: I Identify my gender in the following way: is not valid ---------------------MaleFemaleTransgender FemaleTransgender Male Gender Neutral/non-conformingPrefer not to answerNone Ethnicity: Ethnicity is not valid ---------------------Hispanic or LatinoNot-Hispanic or Latino Race: Race is not valid ---------------------American Indian or Alaskan Native Asian Black or African AmericanNative Hawaiian or Other Pacific islanderWhite Emergency Contact:* Emergency Contact is Required Emergency Contact Phone:* Emergency Contact Phone is Required Emergency Contact Details:* Emergency Contact Details is Required Please provide us with all the information you would want us to pass on to an emergency response person if you were seriously injured or became ill during the program. Occupation:* Occupation is Required Are you Currently Teaching Yoga?:* Are you Currently Teaching Yoga? is Required ---------------------YesNo If yes:: If yes: is not valid Please describe the style of yoga, for how long you have taught and how many classes a week you teach. Health Information: Health Information is not valid I am receiving treatment for any physical or psychological condition. I have been hospitalized for a psychiatric condition. I have a chronic physical limitation or disability. I have a communicable disease. I include recovery from a drug or alcohol addiction in my history. I consume alcohol more than once each week. I consume non-prescription drugs more than once a week? Question 1: Describe your personal yoga practice; specifically asana, pranayama, and meditation components. (By home, personal yoga practice, please specify Asana and Pranayama, not dance, exercise, Tai-chi, Feldenkrais, etc.):* Question 1: Describe your personal yoga practice; specifically asana, pranayama, and meditation components. (By home, personal yoga practice, please specify Asana and Pranayama, not dance, exercise, Tai-chi, Feldenkrais, etc.) is Required Question 2: What does yoga mean to you?:* Question 2: What does yoga mean to you? is Required Question 3: How has your relationship with yoga evolved over time?:* Question 3: How has your relationship with yoga evolved over time? is Required Question 4: Why do you want to be a yoga teacher?:* Question 4: Why do you want to be a yoga teacher? is Required Question 5: Why is this time in your life appropriate for yoga teacher training?:* Question 5: Why is this time in your life appropriate for yoga teacher training? is Required Question 6: Why are you choosing Pranakriya Yoga for your teaching certification?:* Question 6: Why are you choosing Pranakriya Yoga for your teaching certification? is Required Question 7: Please list any Pranakriya teachers with whom you have practiced, including specific classes, workshops, trainings.:* Question 7: Please list any Pranakriya teachers with whom you have practiced, including specific classes, workshops, trainings. is Required Question 8: Please list any other certifications, trainings or workshops you have taken. Include dates and instructors names.:* Question 8: Please list any other certifications, trainings or workshops you have taken. Include dates and instructors names. is Required Disclosure: Disclosure is not valid The Pranakriya Yoga Staff and Host Studio Personnel will rely on the answers in this application to make an informed decision regarding your participation in our program. Please note that all students in 200-hour YTT are expected to adhere to the Pranakriya Yoga Teachers Code of Ethics during the length of the training. Accordingly: I hereby affirm that the above information is, to the best of my knowledge, true and complete. I understand that providing false information is grounds for rejecting my application, being requested to leave the program, or having my certification revoked. If I am required to leave the program because of any misrepresentation(s) on this application, no tuition will be refunded. Also, I understand that NO refunds in any amount will be made after 12pm on the first day of the program. I have carefully read the program participation criteria, requirements, and agreements expressed herein. To this application, I have attached written answers to the 8 application questions, provided two letters of reference and I have attached a recent photo of myself. I understand that my failure to meet the criteria for certification will result in my not being certified as a Pranakriya Yoga teacher. I understand and agree to the above Disclosure.* Student Acknowledgement: Student Acknowledgement is not valid Welcome to an experience of Pranakriya Yoga. Teachings are based on Tantra Hatha Yoga principles. As the practice of yoga can be transformational, it is the duty of the student to practice self-care. Asana, pranayama, and meditation may create challenges on a physical, mental, or emotional level. Ancient teachings and practices may challenge personal beliefs. Not all yoga instruction is appropriate for everyone. Instruction offered in Pranakriya programs may present physical, mental, or emotional challenges. It is the duty of the participant to practice self-care, monitoring yourself closely to determine the appropriateness of the teachings to your unique individual physical, mental, and emotional capacities. As you go through the program, take time to integrate. Reach out to the Program Director or studio staff if anything arises that may require integration beyond the scope of the program. If the practices offered become uncomfortable beyond what you feel is manageable, you are encouraged to modify, opt-out, observe. Of course, for some programs specific practice hours are required for certification. We encourage all students to practice with focus at a level to both humble and inspire their lives. We work to foster an open and accepting community of growth, healing, and transformation that invites all practitioners to listen deeply and to respectfully follow their own psycho-social-biological limitations and their own soul’s dharma. The creators, distributors, and Directors of this material disclaim any and all liabilities for loss in connection with the practices and teachings offered by The Pranakriya School of Yoga Healing Arts. I understand and agree to the above Student Acknowledgement* Disclaimer & Release of Liability: Disclaimer & Release of Liability is not valid In no event shall Pranakriya School of Yoga Healing Arts be liable for any special, direct, indirect, consequential, or incidental damage, or any damages whatsoever, whether in an action of contract, negligence, or other tort, arising out of or in connection with the Pranakriya School of Yoga Healing Arts (PKSYHA), or its Yoga Teacher Training or the contents and practice of such Training. By registering and attending any PKSYHA training, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending this PKSYHA training, you hereby acknowledge and voluntarily assume all risks related to exposure to COVID-19 and agree not to hold PKSYHA, the PKSYHA Teachers, Directors, the affiliated studios, or any of their affiliates, directors, officers ,employees, agents, contractors, or volunteers liable for any illness or injury, to you or to any other person(s) you may subsequently expose to disease. After being informed of the above risks and responsibilities, and the Pranakriya School of Yoga Healing Arts disclaimer of any and all liability, I release Pranakriya School of Yoga Healing Arts, together with its instructors and other representatives, from any and all claims, causes of action, medical expenses, and other losses or costs related to my participation in any Pranakriya School of Yoga Healing Arts programs, whether they arise during my program, or from my later use of program information or program instruction at home. I will abide by the terms of this Pranakriya Yoga Teacher Training Responsibility Agreement because it makes me aware of Pranakriya’s policies and I agree to abide by the terms of its legally binding disclaimer and general release of liability. I understand and agree to the above Disclaimer and Release of Liability* Photography Release: Photography Release is not valid For valuable consideration received, I grant to Pranakriya School of Yoga Healing Arts and its directors the absolute and irrevocable right and unrestricted permission concerning any photographs that the Photographer has taken or may take of me, or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if the Photographer so chooses. I release and discharge the Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of the Photographer, as well as the person(s) for whom the Photographer took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns. Permission for Photography:* Permission for Photography is Required ---------------------I understand and agree to the above Permission for PhotographyI do not agree. 200hr Refund Policy: 200hr Refund Policy is not valid Once you have been accepted into the program and paid the tuition, $500 of the tuition payment is a non-refundable deposit. If you withdraw your application before 5pm of the first Friday of the program, your payment will be refunded in full less the $500 non-refundable deposit. If your refund is accepted, there will be a $25 refund processing fee. I understand and agree to the above Refund Policy* 300hr Program Refund Policy: 300hr Program Refund Policy is not valid If a program registrant (student) cancels 3 weeks prior to the event they will receive a full refund minus a $100 non-refundable administration fee; if they cancel between 3 weeks and 1 week of the program ½ of their tuition will be refunded minus the $100 non-refundable program fee; cancellations less than 1 week are non-refundable. If your refund is accepted, there will be a $25 refund processing fee. I have read, understand and agree to the terms of the Refund Policy* Photo Upload: Please upload a recent, well lit headshot for our directors to easily recognize you.:* Photo Upload: Please upload a recent, well lit headshot for our directors to easily recognize you. is Required Replace References: Please submit two letters of reference from individuals who have knowledge of your yoga experience and interest and who support your decision to apply.:* References: Please submit two letters of reference from individuals who have knowledge of your yoga experience and interest and who support your decision to apply. is Required Replace Refund Policy: Refund Policy is not valid If a program registrant (student) cancels 3 weeks prior to the event they will receive a full refund minus a $100 non-refundable administration fee; if they cancel between 3 weeks and 1 week of the program ½ of their tuition will be refunded minus the $100 non-refundable program fee; cancellations less than 1 week are non-refundable. If your refund is accepted, there will be a $25 refund processing fee. I have read, understand and agree to the terms of the Refund Policy Email:* Invalid Email No val Please fix the errors above