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Tell us about your Basic Certification. I graduated from a Yoga Tree ProgramI graduated from a different school and my Yoga Alliance Registry number is

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Have you listed Yoga Tree as additionally insured yet?  Yes No

In Module Two this program, you will be paired with a mentor. Please list three mentors with whom you
would like to study.
1.-
2.-
3.-

While you don’t need to commit to your Module Three Electives now, it would be helpful if we knew the programs in which you were most interested.  Pre/Postnatal Yoga Yoga and Psychology Pranayama (yogic breathing) Meditation Therapeutics in Yoga (working with injuries) Advanced Assisting Techniques Cancer, HIV, and the Immune System Yoga for Children Yoga for Seniors Anusara Yoga Jiva Mukti Yoga Restorative Yoga AcroYoga

How did you hear about this program?  Google Facebook Yoga Tree Website Printed Ad Friend Referred Me Yoga Teacher Referred Me Other Other:

We would love to thank the person who referred you if you are willing to tell us who it is. . .

How many years have you been practicing yoga?

What styles to you practice regularly?  Vinyasa/Hatha Flow Anusara Iyengar Restorative Other

Other:

Do you plan to teach after you graduate?  Yes No Unsure

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