Registration Form

(Not an online form. Please print this page and fill out.)

200 Hour Teacher Training Application

Please scan and email your application to dancingfeetyoga@gmail.com.

Personal Information

Name ________________________________ Date __________________

Address________________________________________________________________

City __________________________________ State _____________ Zip __________

Home Phone __________________________ Cell Phone ______________________

Email ________________________________ Recommended by_________________

Date of Birth _______________

Program Information

How did you learn about the Dancing Feet 200 Hour Teacher Training? (please check all that apply)

□ I practice at DFY

□ The Beacher

□ Google

□ Email announcement

My yoga teacher recommended it (please list teacher’s name) _________________________________

About You

1. How many years have you been practicing yoga? ______________________________________________________________________________

2. Where did you complete your teacher certification? ______________________________________________________________________________

3. Are you already registered with the Yoga Alliance as an RYT 200? ______________________________________________________________________________

4. What style are you certified in? ______________________________________________________________________________

5. Who have been your primary yoga teachers? ______________________________________________________________________________

6. Do you practice meditation or pranayama? Any particular style or practice?___________________________________________________________________________

7.Are you currently teaching ?

□ No □ Yes If yes, for how many years have you been teaching? Where do you teach? What style do you teach?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8.What are your goals for achievement and expectations of your experience? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Payment Information

2021 200 Hour Advanced Teacher Certification

Fees

Class Tuition

$2900 – One (1) payment with registration before July 1
$3000 – One (1) payment with registration July 1 – Sept. 8th
$3200 -Two (2) payments of $1600: 1 with registration, 1-Dec. 1st
$3405 -Three (3) payments of $1135: 1 with registration, 1- Dec. 1st, 1- Feb. 13th

Class fees are exclusive of required text books – approximate cost $175

Schedule

Classes meets three times each month between Sept 2019 and May 2020.

The first Sat of the month: 8:00 am to 5:30 pm est with 1 hour lunch.

The first Sun of the month: 8:00 am to 5:30 pm est with 1 hour lunch.

The third Sat of the month meets from 10:00 to 5:00 est with 1 hour lunch

Oct 5/6 and 19/20
Nov 2/3 and 15/16
Dec 7/8 and 21/22
Jan- Self Study, absorption, and Teaching
Feb 1/2 and 15/16
Mar 1/2 and 15/16
Apr 5/6 and 19/20
May 3/4 Graduation

Refund Policy
All tuition and fees paid by the applicant shall be refunded if the applicant is rejected by the school before enrollment. An application fee of $25.00 is retained by DFY if the application is denied. All tuition and fees paid by the applicant less $25.00 shall be refunded if requested within three (3) business days after signing a contract with the school or prorated within (3) business days after completing the first course weekend. All refunds shall be returned within 30 days. Once the three (3) business days have elapsed no refunds will be given.

$500 deposit is due with your application in order to secure your space in the training. You may choose to pay the deposit or the full payment at this time (please indicate below). Full payment is required no later than the start of the program unless satisfactory arrangements for payment of tuition and other fees have been made between the student and Dancing Feet Yoga Center Inc. Payment is due in full by early registration date in order to receive the discounted rate. DFY accepts cash, checks, Visa and MasterCard.

□ I am paying by cash

□ I am paying by check #_____________

□ I am paying by credit card. □ Mastercard □ Visa

Credit Card # ________________________________________ Exp. Date______________

Name as it appears on the card _____________________________ CCVC #________

Is your billing address the same as your mailing address?

□ Yes

□ No My billing address is: _____________________________________________________________

City ___________________________ State ____________________ Zip ________________

I hereby authorize the above payment of

$ _____________________________________________ Date ___________

Printed Name

__________________________________________

Signature