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AUROLAB
YOGA PROJECT
APPLICATION FORM
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| 1. Name: |
| 2. Address: |
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| 3. Phone (H)
(Mobile) |
| 4. EMail: |
| 5. Date of Birth: |
| 6. Who is your current Yoga
Teacher? |
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| 7. How long have you attended
this class? |
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| 8. What other teachers have
influenced your practice or experience of Yoga? |
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| 9. How long have you been
practicing Yoga? |
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| 10(a)
Do you practice Yoga at home? |
| (b) If yes, when and for how
long? |
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| (c) What does your practice
consist of? |
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| 11. What do you hope to gain from
this course? |
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| 12. What do you have to offer the
course/group? Include qualifications, skills, interests etc. |
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| 13.
Please list major illnesses, accidents, operations etc. giving dates and
treatment received. |
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| 14. What is your current
understanding of the practice of Yoga? |
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| 15. Signed:
Date: |
Please complete application & post to:
Gabi
Gillessen
Wood-of-O,
Tullamore, Co. Offaly. |
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All
Applications will be treated in Total Confidence.
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