Applied AyurvedaCourse RegistrationPlease complete the details below to enrolIf you have any questions please call us on 0407392666 Name * First Name Last Name Address * Email * Phone Number * Occupation * Emergency Contact Name * First Name Last Name Emergency Contact Number * How did you hear about this course? * Internet Newsletter Classes Poster/Flyer Friend Other Where? If you selected "internet", "poster/flyer", or "other", we'd love to know where you found out about us! Do you have previous yoga or ayurveda experience? * If you do, please describe your experience. Do you have other qualifications in health modalities? * This includes yoga training qualification. Do you have any injuries or structural difficulties at present? * Do you have any medically diagnosed conditions? * Have you experienced a diagnosed condition of depression/anxiety in the past 7 years? * How would you describe your present level of health? * Do you have any food allergies or intolerances? * Detail Is there anything else we need to know to guide you safely in this training program? For what reason have you chosen this course with us? How do you intend to apply it? Select your training * Adelaide - Applied Ayurveda Adelaide - Yoga Psychology & Meditation Adelaide - Pre-Postnatal Yoga Teacher Training Adelaide - Yoga Nidra Training Preferred name on course certificate? Payment method * Pay in full $1200 Payment Plan 12 x $100 weekly PAYMENT, REFUND & COURSE DEFERMENT POLICY * • No refunds after course commencement (course deferment may apply) • Deferment of course or intensives available in consultation with course administrators I agree to payment and refund terms and conditions I understand this is a post graduate yoga course or personal study program. I understand that I will not be qualified to advise as an ayurvedic practitioner. Yes, I understand Thank you!
