MEDITATION Teacher Training Course 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 Phone 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! What is your previous yoga/meditation experience? * Please describe your experience. Do you have other qualifications in health and wellbeing modalities? * This includes yoga training qualification. Describe your current meditation practice? * What is your preferred way of sitting for meditation? * Select Floor Wall Support Chair For what reason are you intending to study with Shantarasa? * To teach To deepen personal practice and understanding For professional development Do you have any injuries or structural difficulties at present? * Have you had any medical procedures in the last 5 years? * 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? * Is there anything else we need to know to guide you safely in this meditation training program? Preferred name on course certificate? Course Payment Select Payment Option Pay in Full Payment Plan PAYMENT, REFUND & COURSE DEFERMENT POLICY * • Non-refundable deposit $500 to secure training registration / with course deferment option • Fees are to be settled minimum 14 days prior to training • Course refund available up to 14 days prior to course commencement less non-refundable deposit • No refunds after course commencement (course deferment will apply). In some situations where circumstances are unavoidable or extenuating some remittance can be negotiated. • Deferment of course or intensives available in consultation with course administrators I agree to payment and refund terms and conditions Thank you!
