Yoga Tree San Francisco: Anusara Immersion Application

ANUSARA IMMERSION AT YOGA TREE

Enrollment Application - Fall 2010

First Name
Last Name
Email

Address
City	State	Zip

Mobile #
Home #
Birthday

Emergency Contact
Name
Phone

Your Health
Do you have any injuries or medical issues?	yes no
Are you taking any medications?	yes no

Yoga Experience
How long have you been practicing hatha yoga?
How long have you been practicing Anusara Yoga?

My level of understanding regarding Anusara's Universal Principles of Alignment is:

Please list with whom you study Anusara Yoga for public classes and any workshops or trainings you have taken.


Please list your most influential yoga teachers other than the Anusara Yoga teachers that you listed above.


Do you teach yoga? yes no

If not, are you interested in continuing toward teacher training? yes no

How many years have you been teaching yoga and what style do you teach?


Why do you practice yoga?


Why do you want to attend this Anusara Immersion?


How did you find out about this training? (check all that apply)
Friend
Flyer at Yoga Tree
Flyer around SF
Teacher Recommendation
Yoga Tree Website
Google
Other Search Engine
Common Ground Ad
Other Print Ad
Teacher Website
Other

For more information, email namastacey@yogatreesf.com