Application

Please complete fully and attach all required documentation.

Tuition is $2,595.00 US. A $300.00 deposit holds your place in the training.

Radiant Wellness Center Ltd.
1183 Salt Marsh Circle
Ponte Vedra Beach, FL 32082
(904)280-4628

PLEASE COMPLETE ALL FIELDS WITH THE RED ASTERISK
if the question does not apply, please type "N/A" in the box.
If a field is left empty the form will not send.
Thank You.

We’d love to have a photo of you before you arrive. It is for reference only and is not considered in the screening process.

Current Occupation (if not currently employed, your vocation training or profession). *

What is your personal intention for taking the training program and how do you imagine that it will impact your life personally, professionally, socially, and emotionally? *

Yoga teacher experience

Health Information

List any prescription medications you are currently taking and indicate dosage and frequency of intake (we do not need to know about birth control or cosmetic prescriptions). *

Please describe any other physical or mental conditions that would be helpful for your instructor to be aware of. List any medications you are taking and the conditions you are taking them for. *

In case of emergency, please contact:

I certify that the above information is true and complete to the best of my knowledge and that I will not hold Radiant Wellness Center Ltd, or my instructor liable for any mishaps arising from my participation in yoga teacher training. By submitting this form I agree to abide by the Teacher Training Program Policy and Agreement

Integrative Yoga Therapy Teacher Training 200 Hour Application Form

We’d love to have a photo of you before you arrive. It is for reference only and is not considered in the screening process.

Yoga teacher experience

Health Information

Integrative Yoga Therapy Teacher Training
200 Hour Application Form