Jaya Yoga Immersion Application

Name

First Name

Last Name

Email Address

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you been practicing yoga?

Please describe your current practice, do you attend weekly classes, about how many, do you have a home practice and who are your primary teachers?

What does yoga mean to you, how has your interest developed?

Why do you wish to participate in Jaya Yoga Center's teacher training program as opposed to any other?

Do you aspire to teach yoga in the future or is this training mainly about deepening your practice? Say a few words about your particular intentions.

Physical biography-tell us about any injuries, broken bones, surgeries, medications (all information is confidential).

Please define the following terms, look them up if you have never heard of them before:

1. Yama

2. Niyama

3. Asana

4. Pranayama

5. Pratyahara

6. Dhyrana

7. Dhiyana

8. Samadhi