Power Up 200 Hour Teacher Training Friday, October 5, 2018 5:15 PM 17:15 Sunday, December 16, 2018 6:00 PM 18:00 Ac Power Yoga 3609 Broadway Street San Antonio, TX, 78209 United States (map) Google Calendar ICS Learn More Application ACPYI Application 2018 Name * Name First Name Last Name Address * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address * Phone * Phone (###) ### #### Age * Occupation * Education * Do you currently practice at AC Power Yoga? * Yes No How long have you been practicing? * What brought you to yoga? * Please list any previous yoga experience: length of time, teachers and types of yoga. List your experience with Baptiste Yoga. * Are you a yoga teacher? * Yes No If yes, what types of classes and frequency do you teach, as well as workshops, retreats you have facilitated. Please list any other health and ﬁtness training or related background you have. * Please list yoga workshops, retreats, and teacher trainings you have attended. * Would you like to become a yoga teacher? If yes, please explain why. * Please list any non-yoga personal growth, transformational-based courses, workshops, seminars or retreats you have completed. * Please list any medications you are currently taking or have taken in the last year. These should be medications that were prescribed under the care of a health care professional or prescribed in an inpatient or outpatient facility. * What is your intention for attending this training? * Terms & Conditions * I understand the AC Power Yoga lnstitute refund policy. All fees are non-refundable.Credit toward future ACPYI trainings will be given for cancellations at least 7 days prior to teacher training minus a $100 processing fee. If ACPYI cancels for any reason, a full credit or refund will be issued. ACPYI reserves the right to amend this policy at its sole discretion. I understand once I am accepted into ACPYI, 100% attendance is required. I understand that ACPYI reserves the right to request an in-person interview upon receipt of the ACPYI application. I understand if I miss any training sessions, I must contact Amanda and I must make up missed sessions within the designated timeline of my entire training. I understand that all tuition payments are due on or before the training commences on 10/05/18. Applicable if paying $3000. I understand that I have to make all 4 payments of $800 before 12/2/18. First $800 payment due on or before 10/05/18. Applicable if paying $3200. If payments are not made you will not be certified and will not receive a refund. I understand that ACPYI reserves the right to dismiss me from the program at their discretion at anytime with no tuition refund. I understand that upon completion of this training I will be certified through ACPYI, not the Baptiste Yoga Institute. Sign below if you agree with the Terms and Conditions. I acknowledge that I have answered the above questions honestly and completely. I acknowledge that I may be contacted for a phone interview for clarification of this application. I understand that by filling out this application I am not guaranteed acceptance into AC power Yoga Institute. * To complete the payment, either pay in-studio or go online to clients.mindbodyonline.com and go to "Online Store" and purchase the “Power Up 200 TT." If purchasing the payment plan you must pay in-studio. Tuition Payments can be made by cash, check, credit card or debit card. Visa, MC, Discover, AMEX Thank you! Name * Name First Name Last Name Email Address * Subject * Message * Thank you!