Step 1: Application

Teacher Training Application

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone

(###)

###

####

Membership hold?

Check here if you are currently on a monthly auto-renew at Goorus Yoga and need it to be placed on hold for the duration of your teacher training.

Career instructor?

Check this box if you are taking this teacher training program mainly to deepen your practice and don’t plan to seek employment in the field of yoga.

How did you hear about this training?

Referred by teacher

Referred by friend

Goorus in-studio signage

Goorus email

Goorus community flyer

Google

Other

Medical History

Please complete the medical history section below so that we can be sure to respond to any emergencies should they arise during your training. Please include a second sheet if necessary. Based on your specific history, we may schedule a follow-up interview before accepting you into the program. Please not that safety is very important to us. Your trainer(s) may ask you to leave if you are not at the physical and/or health level to fully and safely participate, or if you are affecting the safety and learning of others.

How would you evaluate you current health?

Please let us know if you have any injuries that may affect your ability to fully participate in the training.

Please list any medical conditions that may affect your ability to fully participate in the training.

Have you had any surgeries in the last year? If the answer is yes, please list.

Is there anything else we should know about your medical history?

About You

To better serve you, it is important that we have a general picture of your yoga practice and history. Please be as honest and as clear as possible.

How long have you been practicing yoga?

How many days per week do you practice yoga?

What style of yoga do you usually practice?

At which yoga studios do you currently practice?

Who have been your primary teachers, past & present?

Do you have a home practice?

Do you practice meditation and/or pranayama?

Do you practice inversions?

Do you practice Surya Namaskar (Sun Salutation) A & B?

Do you practice chaturanga?

Is this your first yoga teacher training?

If no, please list prior trainings

Are you currently teaching?

If yes, how many years & where?

What areas of yoga challenge you the most?

Why do you want to take Michelle Mazur’s Yoga Teacher Training Program?

What are your expectations for this training? What do you hope to achieve at the completion of this program?

Program Participant Agreement *

I understand that if I am paid in full and fulfill the requirements of Michelle Mazur’s Yoga Teacher Training, I will receive a letter of completion that can be submitted to the Yoga Alliance or a prospective employer as evidence that I have completed a 200-hour Teacher Training program. Paying for the program and completing the hours alone does not mean I will pass the program. I understand that Michelle Mazur reserves the right to ask me to leave the program if I am found plagiarizing, if my behavior is disruptive, in appropriate, negatively impacting other students’ learning, unethical or violates the Yoga Alliance ethical guidelines. Under such circumstances I understand I will be given a prorated refund based on the amount of time I have attended in the training. I understand that if I miss over 40 hours I will receive a non-passing status and will be asked to leave the training. Under such circumstances I understand I will be given the opportunity to retake the program at a discounted rate subject to availability. I understand that if I am habitually tardy I will not receive credit for the days I am tardy. If I am 15 minutes late more than twice, the third time I will be asked to leave and will be required to make up the day according to the makeup policy. If I leave 15 minutes early more than twice, I will be asked to leave and be required to make up the day according to the makeup policy. I understand that if I cancel 14 days prior to the start of the training, my deposit may be transferred toward a future Teacher Training and I will be refunded the remaining balance. If I cancel within 14 days before the start of the training, I will forfeit my $500 deposit but my remaining balance will be refunded. Once the program begins, tuition is non-refundable and non-transferable. I understand that all Michelle Mazur Yoga Teacher Training materials are under copyright protection and cannot be reproduced by me without permission of the author. Failure to comply may result in legal action.

I Agree

Step 2: Payment ( option to pay deposit only at checkout)

Make Payment