Spring 2021 Teacher Trainings“TOTAL IMMERSION. INFINITE POSSIBILITIES.”200-HOUR ADV. YOGA IMMERSION PROGRAM W/ WENDY MEDEIROS*Online* Name * First Name Last Name Email * Phone * (###) ### #### Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * Emergency Contact (Name/Relation/Phone) * Briefly describe your experience with Yoga, including any current daily practices (of any kind) * Briefly describe your experience with Meditation, including any current daily practices (of any kind) * Do you have injuries or medical conditions we should be aware of? * What are your intentions for this program? * Why did you choose this program? * Are there challenging circumstances you are facing that you think might be relevant? (answers are viewed by training staff only) What goals do you have for yourself in this program? How can we best support you? * Describe your current diet: (e.g.. Typical American Diet, Vegan, Paleo-Curious, Mom who eats kids’ leftovers...) * Is there a topic in particular that you are most interested in exploring? * Is there any additional information you would like us to have? * Thank you! We are so excited you are joining this training. We will be in touch with you soon via email.