Bikram Yoga Teacher Training Form

Please fill out the form below with your appropriate information to register for the Bikram Yoga Teacher Training. In the designated section of the application, remember to indicate which season and year you are applying to attend. Please be descriptive as possible.

Name:*
Date of Birth:*
E-mail:*
Address:*
City:*
State:*
Zip code:*
Country:*
Phone number:*
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Emergency Contact Number (please include country code):*
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Emergency Contact Name:*
Emergency Contact Relationship:*
Height:*
Weight:
Eye color:*
Hair color:*
Current/highest level of education:*
List any medical conditions you have and all medications, prescriptions, and non-prescriptions that you take: *
Do you currently consume alcohol? If yes, how often?*
How would you rate your general level of fitness? (1-10)*
How would you rate your overall health? (1-10)*
What other types of yoga, exercises, or sports do you practice? How often?*
Which Teacher Training session do you plan to attend? (Year/Season)*
Current studio practicing Bikram + Studio Owner:*
Recommending Teacher:*
How many years have you practiced Bikram Yoga?*
How many times a week do you practice Bikram Yoga?*
Have you participated in any other Yoga Teacher Trainings? If so, which?*
Have you ever practiced Bikram Yoga for 30 continuous days? If yes, how many times and when?*
Are you able to study and memorize written material?*
Are you capable of taking two Bikram Yoga Classes a day comprising in total from 3 - 5 hours of yoga per day, five days a week, for nine weeks?*
Are you capable of attending lectures and clinics for an additional approximation of six hours per day? *
Are you capable of studying an additional approximation of one to two hours per day on your own?*
Hotel Accommodation: Single or Double?*
What is your T-shirt size? (for group T-shirt)*
Will you be staying longer than the 9 weeks?*
Why do you want to become a Bikram Yoga instructor?*
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