ChildLight Yoga 95 Hour Program Enrollment Application

ChildLight's 200hr Program Enrollment Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How did you hear about ChildLight’s 200hr Yoga Teacher Training?*
If you were referred by someone, please indicate the person’s name.
Brief Bio, including how long you have been practicing yoga and what style(s) of practice you prefer:*
Are there any health concerns ChildLight should be aware of in order to support you in this training? If yes, please explain.
Why do you want to be a certified yoga teacher at this time in your life?
How do you plan to apply your yoga skills to your life and work?
Are you planning on paying the tuition in full at the time of registration or would you prefer to have a payment plan?*

Pay in full at time of registrationPayment Plan
Additional comments or questions?
Thank you for completing this enrollment form! Please allow 1-2 weeks for processing your application. Once reviewed, we will either contact you to request further details or with verification of your acceptance into the program.
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