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50hr aerial application

50-Hour Aerial Yoga Teacher Training / SPRING 2019

*Application fee is non-refundable. $500 deposit is due upon acceptance to reserve your spot.

Pay $20 Application Fee

Select Your Training

Which training do you wish to apply for?

Spring 2019

Other

Contact Information

First Name

Last Name

Address

City

State

Zip Code

Country

Primary Phone

Additional Phone

Email Address

Website

Where did you receive your 200-hour teacher training certification?

Emergency Contact

Name

Relationship to Applicant

Contact Phone

Medical History

Overall Health (Your answers will not limit your acceptance and will remain completely confidential)

Excellent

Good

Fair

Under Par

Additional Explanation as Necessary

Please tell us more about any past or present medical conditions or physical injuries.

Are you currently pregnant?

Yes

Do you suffer from any of the following contraindications for inversions? (Check all that apply)

Bone weakness, recent fractures, skeletal implants

Glaucoma

Heart / circulatory disorders

Hiatal hernia, ventral hernia

High blood pressure, hypertension

Middle ear infection

Obesity (extreme)

Retinal detachment

Spinal injury/recent trauma to the spine

Stroke/Transient ischemic attack

Yoga/Teaching Experience

Please complete each of the following questions thoughtfully, thoroughly, and to the best of your ability. Have you ever taken an Aerial Vinyasa class at Om Factory? If you are applying for Aerial Mellow Flow, have you attended a Mellow Flow class?

Are you a Certified Yoga Teacher?

Do you currently practice yoga?

How long have you been practicing yoga?

What styles of yoga do you prefer to practice? Why?

Do you have experience teaching any other forms of movement? (dance, aerial arts, yoga, Pilates, etc. Please explain:

Aerial Yoga Study

Please complete each of the following questions thoughtfully, thoroughly, and to the best of your ability. Have you ever taken an Aerial Yoga class at Om Factory?

Have you taken an Aerial Yoga class anywhere else?

How often do you practice Aerial Yoga?

Why do you want to teach Aerial Yoga?

What are your expectations of the program?

What do you hope to gain from participating in Aerial Yoga Teacher Training?

Additional Information

How did you hear about our Teacher Training Program?

Do you have any questions, comments, or concerns?

Applicant Agreement

* I understand and agree to fulfill all the requirements of Om Factory Aerial Yoga Teacher Training, including in-class hours, homework and non-contact hours outside of the classroom. Upon review and consent of lead instructors, I will receive a certificate of completion from the program. I understand that Om Factory Aerial Yoga Teacher Training reserves the right to ask me to leave the program if my behavior is unethical, inappropriate, or in any way violates Om Factory’s ethical guidelines. Under such circumstances, I will not be refunded my tuition. I understand that all Om Factory Aerial Yoga Teacher Training materials cannot be reproduced by me without permission of the author. Failure to comply may result in legal action. I understand that Teacher Trainings does not guarantees employment at Om Factory during or after the program. I have read and accept all above terms and requirements

Applicants who have been accepted will be notified by email. Please let us know here if you would rather be notified by phone. Applicants who have been accepted into the program must confirm participation immediately via e-mail or by return phone call to the person who notifies them. If an applicant fails to confirm participation, and preferred method of payment by TBD, another student may fill that space. Please indicate your preferred method of notification:

By Email

By Phone

By submitting this application you acknowledge that you have answered the questions truthfully and to the best of your ability.