Application form

Restorative Yoga Training - Application form

This application is the first step in applying for a space to attend Emma Cole Yoga, Yoga Alliance Accredited RYT40hr ‘The Art & Science of Restorative Yoga’. Please complete the form below now – STEP 1 (all fields are compulsory)

Your application will be processed and you will receive notification of acceptance within one week. Please then complete the booking form – STEP 2 (downloadable from the website) & Pay the Course Deposit – STEP 3

Completion of all 3 steps will secure you a place on the training course.

Name *

First

Last

Email *

Telephone Number *

Address (for certificate upon course completion) *

Your Postcode *

Date of birth *

Please state which training you wish to attend? *

Will you be commuting or staying locally? *

This question does not apply to me
I will commute every day
I will make arrangements to stay locally

How did you hear about this training? (please list names of friends / colleagues / training organisations) *

What's your current profession? *

What is your previous experience of Yoga? *

What is your previous experience of Restorative Yoga? *

List any physical injuries *

What attracted you to this course – Cost/Location/Teacher/Syllabus? (Please give as much detail as possible) *

Do you have a meditation practice? What kind of meditation? (not essential) *

Who is / are your teachers in the field of Yoga & Meditation? *

Do you have any mental health challenges, or do you suffer from Depression / PTSD, CPTSD or Anxiety? Please provide full disclosure. This information will not be shared, aired & will be protected under your right to privacy. This information is required primarily to safeguard and support you so that we can be aware of and sensitive to your needs and those of the group. *

Do you take any medication? What kind and what is it for? (Again, this is protected information and will not be shared or used to discriminate) *

Are you in psychotherapy or counselling, please let us know which types you are attending and why? (Again, this is protected information and will not be shared or used to discriminate) *

Comment or Message *