Yoga Nidra Teacher Training Course RegistrationPlease complete this form 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! Do you have previous yoga experience? * If you do, please describe your experience. Do you have YTT 200h Certification or other requisite skills? * For what reason are you intending to study with Shantarasa? * To teach To deepen personal practice and understanding For professional development Do you practice meditation? How regularly? * Do you practice self-guided Yoga Nidra? * Have you previously guided Yoga Nidra or yoga relaxation methods? * Do you have additional training in yoga practice or philosophy? * Do you have any health considerations we need to be aware of? * What is your purpose for taking this course? * Preferred name on course certificate? Payment * Yoga Nidra Training Pay in full $900 Yoga Nidra Training Payment Plan $900 ($100 per week) Yoga Nidra Online ONLY Pay in Full $700 Yoga Nidra Online ONLY Payment Plan $700 ($100 per week) PAYMENT, REFUND & COURSE DEFERMENT POLICY * This course is non-refundable. Course deferment option only. Deferment of course available in consultation with course administrators I agree to payment and refund terms and conditions Thank you!