Name *

First Name

Last Name

Cell Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Emergency Contact Name *

First Name

Last Name

Phone *

(###)

###

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For which program are you registering?

300-hour YTT 2019/2020 (all modules)

Module #1: 2019

Module #2: 2020

Module #3: 2020

I am 100% committed to my attendance and participation in this training or module I chose *

Yes!

No, I would like to discuss this with Lindsay

Which tuition payment will you be completing? *

300-hour Standard Tuition $3,450

300-hour Early Bird: $3,250 (by October 1)

Module #1: $1,250

Module #2: $1,250

Module #3: $1,250

Are you requesting a payment plan for your above tuition? *

Yes, I would like a payment plan beginning with a $500 deposit

No, I would like to pay in full

How did you hear about this program? *

red lila YTT Faculty member

red lila YTT Alumni

Sanctuary Bodyworks

lululemon

Merritt Clubs

Coppermine Racquet + Fitness

Friend/family member

Yoga Teacher

Yoga studio

Gym/fitness center

Another business

Online search

Social Media

Print advertising

General word of mouth