Welcome to Synergy, Center for Yoga & the Healing Arts

435 Española Way
Miami Beach, FL 33139
305-538-7073

8701 Collins Ave.
Miami Beach, FL 33154
305-866-1650

Center for Yoga & the Healing Arts

SYNERGY YOGA TEACHER TRAINING ONLINE APPLICATION

Teacher Training

Teacher Training Application

Other Training Events

An interview by person or by phone is required to confirm acceptance into the program. Please call 305-538-7073 or email the director at gaiamylove@yahoo.com to arrange an interview.

To Apply Online
Complete the form below and click submit. You can also apply by mail.

Synergy is a non-profit organization dedicated to the principles of yoga and welcomes people of all color, race, religion, national origin, gender, age, marital status, disability or sexual preference. The information in this application is treated as confidential.


Name
Address
City, State, Zip
Home Phone
Work Phone
Mobile Phone
Email
Occupation
Age	Gender
Emergency Contact

1. How/from who did you hear about Synergy's teacher training?


2. What do you wish to accomplish by taking the course?

3. Tell us about your yoga background and include:
how long you have been practicing and how often do you practice; do you have a personal daily practice, if yes describe it briefly; what style or styles do you practice; who are your most important influential teachers; list yoga workshops or trainings you have participated in and anything else that you think is important about your experience with yoga.


4. Do you have any current or past injuries or physical issues that affect you now?

5. Have you ever taught yoga? If so, where, when, for how long and what style?

6. Please describe any previous training or formal study in bodywork, spirituality, psychology, counseling, etc;

7. Are you currently taking any medication? If so, please advise.

I, the undersigned, being of sound mind and body, do willfully choose to join the Synergy Teachers Training Course. I understand that yoga is a rigorous discipline and I accept full responsibility for every thing that happens to me during the course. I agree to pay Synergy 50% of the tuition prior to the beginning of the course, with the balance to be paid in full no later than the 4th of January, 2008, unless other arrangements have been made with the director. A refund minus $200 will be made of all cancellation requests in writing postmarked by January 9th, 2008. Absolutely no refunds will be made after January 9th, 2008. I understand that if I decide to quit the course at any time, there will be no refund of tuition. I understand that I must complete all certification requirements as outlined in the “Criteria for Successful Completion” document in order to receive the Synergy 250-hour professional certification diploma.

Note: we will ask you to sign the application in person during the interview.

After clicking submit, you will be redirected to a confirmation page that you may print for your records.

To Apply by Mail:
Download, print, complete and mail to the following address:

Gaia Budhai (Training Director)
PO Box 403656
Miami Beach, FL 33140

Click here to download the application. Adobe Acrobat required

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