MOTH Aerial Yoga Level 1. Teacher Training Application. MOTH Aerial Yoga
. Thank you for applying to the MOTH. Aerial Yoga ...
MOTH Aerial Yoga Level 1 Teacher Training Application MOTH Aerial Yoga
[email protected] Thank you for applying to the MOTH Aerial Yoga Teacher Training Program! Though you are not required to be a Certified Yoga teacher, this program is most suited to those with at least a working knowledge of the yoga asanas. If you are an RYT with Yoga Alliance, you will earn CE credits through this program. Please inquire if this applies to you. Once you have completed this form, please email your application back to
[email protected], or print and mail to address below. Once your application has been reviewed, we will notify you of acceptance. Upon commiting to a program, a deposit of $250 is required to hold your spot. Full payment is due within 3 weeks of a scheduled program. You can send a check made out to MOTH, or call with a CC#. (We will give a full refund, minus a $50 administrative fee, for cancelling within 2 weeks of a program. After two weeks, only half, minus $50 will be refunded.) If at any point you have any questions regarding this application, or the training, please don’t hesitate to call Deena at 720-402-2044 or email at
[email protected]. We look forward to reviewing your application!
Please print clearly and answer in another color if emailed Name (First and Last): Street: City:
State:
Cell Phone:
Zip:
Home Phone:
Email: Age:
Height:
Weight:
Name of studio you teach or participate at:
City:
State:
Zip:
Studio Website: Studio Phone:
*If you have any health concerns, or have had a doctor ask you to not participate in certain activities, please be mindful. While some conditions will prohibit you from participating in aerial yoga, some may not, but unless we know, we cannot help you. Please let us know if you have any specific questions regarding your health and aerial yoga.
EXPERIENCE Teaching or participation following modalities. Include certifications.
Yoga: Pilates: Gyrotonic®: Pole Fitness: Circus Arts: Acro Yoga: TRX/Crossfit: Other:
Please provide us with any videos, websites, photos or links to activities you’ve done, such as aerial silks, circus arts, pole fitness, acro yoga or any other similar activity. We look forward to seeing what you can do! Thank you, Deena Marcum E-RYT, Director & Master Trainer
MOTH Aerial Yoga snail mail: 24147 Deer Valley Rd, Golden, CO 80401 720-402-2044 Email:
[email protected] Website: www.mothaerialyoga.com