STONE DOOR YOGA RETREAT

168 Fehery Lane, P. O.  Box 256, Beersheba Springs, TN 37305

931-692-2350    www.yogadoor.com                 email:  yoga@yogadoor.com

TEACHER TRAINING APPLICATION

APPLYING FOR:    (circle all that apply)     PART I            PART II

accommodation:      camping(free)          dorm($15/night)     

Name __________________________________________Course Date_______________________

Street Address ____________________________________Email___________________________

City/State/Zip Code/Country_________________________________________________________

Home Telephone _______________________________Cell Phone__________________________

Occupation______________________________________________________________________

Education / Skills_________________________________________________________________

Age______ Gender ______________Health Problems?__________________________________

List any medications that you are taking_______________________________________________

Are you allergic to any medications? _______If so, what medications_________________________

In case of an emergency, who should we contact? Name____________________________________

Address________________________________________________________________________

Telephone ___________________________________Relationship__________________________

Length of time practicing yoga_______________________________________________________

Reasons for wanting to attend the course________________________________________________

Uniform Size (circle one)   Small    Medium    Large    X-Large

Accommodation (circle one)      Tent (furnish your own)       Dorm

The fee for this course includes tuition, meals, 2 uniforms, and a training manual. Students must

bring their own tent, sleeping bag, towel, toiletries, bath towel, and yoga mat. All fees are non-refundable.

Payment with a check, money order, or cash is accepted. Credit cards are not accepted.

A NON-REFUNDABLE DEPOSIT OF $300 IS REQUIRED WITH APPLICATION

Signature of Applicant _____________________________________________date_______________

Course Fees:

Part I   $1400.00    

Part II   $1400.00

Daily Schedule:                                                   

Part I                                                                                                         Part II

5:30 Wake Up         12:00 Lecture                                              4:30 Wake Up

6:00 Satsang            2:00 Lecture                                                 5:00 Pranayama

8:00 Asana Class     4:00 Asana Class                                    Remainder of schedule

10:00 Brunch            6:00 Dinner                                                    same as Part I

10:45 Karma Yoga    8:00 Satsang3013