Immersion and TT application forms

Welcome to the Immersion and teacher training program with Manel Rodrigues. Please answer the questions below so we can serve you better. We hope to see you soon on the mat!

Are you doing this application for:

a) - Immersion ________ b) - Immersion&Teachers Training _________

Please attach a face shot. Also a picture in your favorite yoga posture (optional)

1- Name:

2- Gender:

3- Birth Date M/D/Y:

4- Nationality:

5- First Language:

6- Second spoken Language:

7- Current Occupation:

8- Email:

9- Phone Number:

10- Emergency Contact:- Name:- What is the Relationship:

11- What is your Yoga Experience? How long have you been practicing?

12- What is your intention to take this immersion and teacher training?

13- Do you teach yoga already?

13- Do you desire to teach one day?

14- Do you have anyone who inspires you in the yoga world or outside?

15- What is you favorite yoga pose?

16- Do you have any favorite Hobbies or sports?

The following questions are essential for the teachers to better assist you during your training. Your answers will be kept in strict confidence within this program administration.

A- Are you currently taking medications for any physical or psychological condition? Yes ____ No____ B- Do you have any chronic physical limitations or disabilities? Yes ____ No____

C- Do you have a history of psychological or emotional illnesses or issue? Yes ____ No____

D- Do you have a communicable disease? Yes ____ No____

E- Have you had a serious illness or major surgery within the last five years? Yes ____ No____

F- Are you currently pregnant or trying to become? Yes ____ No____

*Note if your answer was Yes in any of the above, please give a short explanation of the issue.

Any thing else about your self you would like to share?

Please send the application to – globalmanuyoga@gmail.com

Thank you, we will review your application within one week maximum time and send you the further steps.

Namaste, Global Manu Yoga.