Hilltop
Yoga
Teacher
Training
Application
108
E.
Grand
River
Lansing,
MI
48906
Name:
__________________________________________________________
Email
address:________________________________________________
Phone
Number:
_________________________
Basic
Intensive
200‐Hour
Teacher
Training
Training
Start
Date:
m_____/d________/y___________
Training
End
Date:
m_____/d________/y___________
Deposit:
$200*
Tuition
and
Fees:
$1,800
*Please
submit
the
completed
teacher
training
application
along
with
deposit
by
the
Application
&
Deposit
deadline
listed
on
our
website.
What
is
your
previous
physical
experience
(dance,
gymnastics,
pilates,
etc.)?
And
for
how
long?
What
is
your
previous
yoga
experience?
Please
list
type
of
yoga,
the
teacher
and
duration.
Do
you
have
a
home
practice?
If
so,
how
many
days
per
week
do
you
practice
at
home
and
what
does
your
practice
include?
Are
you
a
body
worker
(massage
therapist,
etc.)?
If
so,
please
explain.
Are
you
educated
in
philosophy
or
anatomy?
Please
explain.
Do
you
meditate?
If
so,
what
form
of
meditation,
how
many
days
a
week
and
what
is
the
duration
of
each
session?
If
you
want
to
teach,
please
write
a
brief
essay
on
how
you
believe
it
will
help
others
as
well
as
yourself.
If
you
are
not
sure
that
you
want
to
teach
and
are
here
to
expand
your
knowledge
of
yoga
for
your
personal
practice,
please
write
a
brief
essay
on
why
you
want
this
knowledge
and
how
you
feel
it
will
help
your
practice.
Please
type
separately
and
submit
with
application.
©2012
Hilltop
Yoga,
Inc.
All
rights
reserved.
Hilltop
Yoga
Teacher
Training
Application
108
E.
Grand
River
Lansing,
MI
48906
The
below
portion
to
be
completed,
initialed
and
signed
in
the
presence
of
a
Notary
Public.
Application
will
not
be
accepted
without
applicant’s
initials
on
the
two
items
below
and
signature
at
the
bottom
along
with
notarization
signature
and
official
seal.
___________
I
hereby
agree
to
abide
by
the
following:
HYTTP
Deposit
and
Refund
Policy:
A
$200
deposit
is
due
one
month
prior
to
the
start
date
of
training.
The
deposit
paid
by
the
applicant
shall
be
refunded
if
the
applicant
is
rejected
by
the
school
before
enrollment.
An
application
fee
of
not
more
than
$25
may
be
retained
by
the
school
if
the
application
is
denied.
Upon
acceptance
into
the
school
and
completion
of
the
enrollment
contract,
the
$200
deposit
becomes
nonrefundable.
All
tuition
and
fees
are
due
the
first
day
of
training.
All
tuition
and
fees
paid
by
the
applicant
shall
be
refunded
(minus
$200
deposit)
if
requested
within
3
business
days
after
signing
an
enrollment
contract
with
the
school.
Once
the
3
business
days
have
elapsed,
no
refunds
will
be
given.
All
refunds
shall
be
returned
within
30
days.
____________
I
hereby
agree
to
the
following:
• That
I
am
participating
in
yoga
classes
and
workshops
offered
by
Hilltop
Yoga,
Inc.
during
which
I
will
receive
information
and
instruction
about
yoga
and
health.
I
recognize
that
yoga
requires
physical
exertion
which
may
be
strenuous
and
may
cause
physical
injury,
and
I
am
fully
aware
of
the
risks
and
hazards
involved.
• I
understand
that
it
is
my
responsibility
to
consult
with
a
physician
prior
to
and
regarding
my
participation
in
yoga
classes.
I
warrant
that
I
am
physically
fit
and
I
have
no
medical
condition(s)
which
would
prevent
my
full
participation
in
the
yoga
classes
or
workshops
in
which
I
am
enrolled.
• In
consideration
of
being
permitted
to
participate
in
the
yoga
classes
and
workshops,
I
agree
to
assume
full
responsibility
for
any
risks,
injuries
or
damages,
known
or
unknown,
which
I
might
incur
as
a
result
of
participation
in
the
program.
I
also
knowingly,
voluntarily
and
expressly
waive
any
claim
I
may
have
against
Hilltop
Yoga,
Inc.
and
its
instructors,
for
injury
or
damages
that
I
may
sustain
as
a
result
of
participation
in
the
program.
• I,
my
heirs,
or
legal
representatives
forever
release,
waive,
discharge
and
covenant
not
to
sue
Hilltop
Yoga,
Inc.
or
its
instructors
for
any
injury
or
death
caused
by
their
negligence
or
other
acts.
___________________________________
__________________________________________________
______________________
Print
name
applicant
Signature
of
applicant
Date
On
_____________________(date)
before
me,
______________________________________(here
insert
name
and
title
of
notary
officer),
personally
appeared
before
me
______________________________,
who
proved
to
me
on
the
basis
of
satisfactory
evidence
to
be
the
person
whose
name
is
subscribed
to
the
within
instrument
and
acknowledged
to
me
that
he/she
executed
the
same
as
his/her
free
act
and
deed
and
in
his/her
authorized
capacity,
and
that
by
his/her
signature
on
the
instrument
the
person,
or
the
entity
upon
behalf
of
which
the
person
acted,
executed
the
instrument.
I
certify
under
PENALTY
OF
PERJURY
under
the
laws
of
the
State
of
______________________________
that
the
foregoing
paragraph
is
true
and
correct.
WITNESS
my
hand
and
official
seal.
________________________________________________
Notary
Public
Notary
Public
print
name:
____________________________________
My
commission
expires:
________________________
©2012
Hilltop
Yoga,
Inc.
All
rights
reserved.