200hr Teacher Training Registration Form (in-person)

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email

Phone

Age

Occupation

TEACHING EXPERIENCE

PAST YOGA EXPERIENCE / OTHER STYLES OR TRADITIONS

MY GOALS WITH THIS PROGRAM, MY EXPECTATIONS FOR THIS TRAINING:

CURRENT YOGA TEACHING EXPERIENCE

Are you currently teaching yoga? If yes, number of classes per week _________ What tradition/style? _____________________ How long?___________________

HEALTH & MEDICAL INFORMATION

Are you under any medical treatment or supervision?

Under medical treatment or supervision for: _____________________________________________________________________________________________

Pregnant: _____ Due date: ___________ Comments: ___________________________________________________________________________________

Chronic Physical Limitations/ Physical Handicaps (e.g., vision, hearing, movement, etc.) Nature & Extent of Limitation

Serious Illness or major surgery within the last 5 years (e.g., heart problems, cancer, etc.)

Conditions and Dates: ___________________________________

EMERGENCY CONTACTS

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Name

Physician/Health Care Provider

Phone

Emergency Phone

ADDITIONAL INFORMATION

How did you find out about TAYS Yoga Teacher Training Program?

CERTIFICATION CRITERIA:

This course is intended to result in your certification as a Hatha Yoga Teacher.
Certified Hatha Yoga Teachers from Therapeutic Approach Yoga Studio must possess the skills and abilities necessary to safely and competently teach Hatha Yoga.
We reserve the right to withhold certification from any student who fails to develop the skills necessary to competently and safely teach Hatha Yoga as outlined in the teaching program.
Every attempt will be made to provide input throughout the program about teaching deficits that might impede certification. Program instructors will use the following criteria to establish student eligibility for certification:

1. Practice Teaching: At the end of the program participants will be asked to teach a ½ hour test yoga class. All aspects of the student teacher’s performance will be graded including timing of the class, sequencing, safety, physical assists, etc.

2. Attendance: Missed time during YTT program - Once the YTT program has begun there are no refunds or changes. Concessions can be made for medical reasons with a doctor's note. If participants miss time during the YTT program they are expected to make up the content from other participants. Participants are required to make up the hours missed by attending and paying for another program at the Teacher Training level with a certified Yoga Alliance teacher from TAYS or at another facility as approved by Mike and Maxine. If fewer than 5 hours are missed these hours can be made up by attending additional classes at TAYS studio at the participant's expense. When hours missed exceed 5 hours then additional hours must be made up at a program or workshop at the teacher training level. These hours would be paid at an additional expense to the student. Participants must make up these hours and the content in order to receive their certificate of completion.

Tests: Throughout this course, students will be required to write written tests on the material. Students who receive less than 70% on any given test will be required to re-take the test at the discretion of the instructors or demonstrate that they understand the material that was incorrect.

Fees: All program fees must be paid-in-full prior to receiving certification. Professional Behavior and Ethical Conduct: All students in the program are required to behave in an ethical manner to help create safety while maintaining a professional atmosphere. If a participant has been using alcohol or drugs prior to a session they will be asked to leave for the remainder of the session. If a second warning is required they will be asked to leave the remainder of the program. No refunds will be provided.

Continuing Education: Successful yoga teaching requires continued learning and renewal. Students are required to complete a minimum of twelve (12) clock hours of yoga-specific training per year after certification. This requirement is to be recorded and tracked by the individual yoga teacher on the “honor system” and should be able to verify documentation at any time as proof of meeting this requirement.

AGREEMENT

Yes, I agree.

I have read and understand all the above criteria for certification as a Hatha Yoga Teacher through Therapeutic Approach Yoga Studio. I agree to meet all ethical and continuing education requirements outlined in this document.