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Application for Adaptive Yoga Training Online

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Adaptive Yoga Training Online Application Form

The training begins on November 1 - December 17, 2022

"*" indicates required fields

Step 1 of 4

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Personal Information

Name*
Home Address*
My Home and Mailing addresses are the same*
Mailing Address*
MM slash DD slash YYYY
How did you find out about this program? Check all that apply.*

Your Yoga Experience

What is your current level of yoga training experience?*

Are you currently enrolled in the Integral Yoga Therapy 800-Hour Certification program?*
Are you currently teaching at IYI?*

Health and Safety Information

This information is requested in order to better serve both you and the Integral Yoga community. Responses will be kept confidential.

Emergency Contact Information

Emergency Contact Name*
Emergency Contact Methods*

Agreements

Copyright Agreement*
By registering for this program I agree not to copy materials, share videos or any links that are shared with me by Yoga For The Special Child®, LLC. I understand that these are copyrighted materials and are shared with me as a registered program participant at the sole discretion of Yoga For The Special Child. Please acknowledge that you will NOT share the materials, or photos and will not do any recordings of the training.
Tuition Policy*

A deposit of $100 is required to reserve your space in the program. The deposit is non-refundable, but will be counted as part of your tuition. This deposit must accompany your application to complete your enrollment.
Full payment of tuition is due before the training begins, unless you are enrolled in the payment plan, in which case your first installment is due before the training begins.
Non-payment of tuition will result in canceled registration from the course.

• $1300 Early Bird Tuition for applications received by October 18, 2022.
• $1395 Full Price Tuition for applications received after October 18, 2022.
• $1275 for active IYINY teachers.

Directions to complete registration with your tuition payment will be emailed to you after your application has been reviewed.

Admission and Continuation Policy*
Acceptance into the training program is not guaranteed, and is conditional upon the applicant meeting the basic requirements as stated in the training prerequisites. A completed application form and deposit are required to be considered for acceptance. Tuition must be paid in full before the training begins, or the student may not be admitted to join the class. If an applicant is not accepted into the program, the deposit will be refunded. If the student decides to withdraw their application before the training begins, the deposit fee is non-refundable. Any balance paid beyond the deposit amount will be returned.

After the training begins, any refund of tuition is contingent upon several factors including but not limited to: length of time in the program, reason for withdrawal or dismissal, return of training materials, intention to complete the training at a later date. Applicants acknowledge that refunds after the training begins are not guaranteed, and will be issued in accordance with the Admission and Continuation Policy as stated.
Photo and Video Release
I acknowledge that by participating in an online program I may appear in photos or video recordings of the training. I grant to Integral Yoga Institute of New York and its representatives the right to take photographs/video/recordings of me and my property. I authorize Integral Yoga Institute, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
General Enrollment Agreement
I wish to apply as a Teacher Trainee, and I agree to assume full responsibility for any injuries to me that may occur during the training. I am in good health, and any physical illnesses or ailments are clearly stated above. I have read and agree to abide by the policies for admission and continuation of the training program. I acknowledge agreement to fulfill all my teacher training requirements to meet Integral Yoga Institute and Yoga Alliance standards in order to receive my certification. I further acknowledge that Integral Yoga Institute reserves the right to withhold certification should my efforts not meet its requirements and standards.

Payment

Select payment method for application deposit:
Please check if you have activated a Stripe feed for your form.
After submitting this application send your $200 deposit fee via PayPal to gopala@iyiny.org.
Please include your name and the Training you are applying for with your payment
After submitting this application send your $200 deposit fee via Zelle to gopala@iyiny.org.
Please include your name and the Training you are applying for with your payment
After submitting this application,
- Make check for $200 out to:
Integral Yoga Institute Inc.
- Send To:
ATTN: Treasury
227 West 13th Street.
New York, NY 10011

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(212) 929-0585

TOUCH TO CALL
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info@iyiny.org

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Located in Greenwich Village

227 West 13th Street
New York, NY 10011
(between 7th and 8th avenues)

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Hours

Monday–Thursday
11:00 a.m. – 6:30 p.m.

Friday
9:30 a.m. – 4:30 p.m.

Saturday
10:30 a.m. – 6:30 p.m.

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Accessibility at Integral Yoga

  1. All four Yoga classrooms and the elevator at Integral Yoga Institute are wheelchair and scooter accessible.
  2. Service dogs assisting disabled persons are welcome.
  3. The third floor restroom is an all-gender accessible facility.

Please send any questions to info@iyiny.org

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