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Rising Lotus Inc Hatha Yoga Teacher Training Application

“Go confidently in the direction of your dreams! Live the life you’ve imagined. As you simplify your life, the laws of the universe will be simpler.”

—Henry David Thoreau

Start Date:

Name: ____________________________________________

Home Address: ___________________________________________________

City: ________________________ State: ___ ZIP:_________

Cell phone: (___________)____________________________________

Email address: _________________________________________________

Social Media Usernames:

IG___________________________________________________________

FACEBOOK__________________________________________________

TWITTER____________________________________________________

Emergency Contact:_________________________________________________





Essay questions: Please take your time and answer the following questions in complete sentences. Please write at least 3 sentences for each question. Please submit with your application.

Describe your introduction to yoga.

Describe your present yoga practice.

How has your yoga practice changed?

Describe your vision of the yoga instructor you will be upon graduation and then in one year.

What do you think is the most important aspect that you want to learn as a yoga teacher trainee?

Do you have any experience with any other healing art?

What healing art other than yoga would you like to be certified in?

Describe your work experience.

Describe your educational experience.

Describe your physical fitness and health.

Describe your mental and emotional health.

List two references and what your relationship is.

Are you requesting a full or partial tuition scholarship, if so please explain.





I, _______________________, understand and acknowledge that Rising Lotus facilities are for the exclusive use of instruction and business. I therefore agree to use the Facilities or the equipment in the Facilities to engage in my activities as a trainee. I hereby waive, release and discharge Rising Lotus, its present and former Board of Directors and its present and former officers, employees, agents and volunteers (the “Indemnitees”) from any and all claims that are based in whole or in part on injuries (including death), damages, losses, or expenses of any kind I may suffer or incur in connection with services my activities as student. I recognize and acknowledge that the Rising Lotus Inc shall not be responsible for insuring me against any injury or loss connected with my use of the Facilities, including without limitation workers’ compensation insurance.

I have read and fully understand this Trainee Waiver and Release of All Claims and execute it of my own free will and without any reservation whatsoever.

PRINT NAME:______________________________________________________

SIGNATURE: ________________________________ DATE: ___________

RISING LOTUS INC’S EXECUTIVE DIRECTOR:

_________________________________ DATE _______________

Your signature certifies that all the information on this application is true and correct to the best of your knowledge. Your signature also certifies that you have received the policy and procedure handout and that you understand and agree with its contents. Falsifying information on this application will be considered cause for dismissal from this program without refund.