katlin robinson - yoga therapy

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Anxiety, Trauma, Depression, Grief, Fertility, Prenatal, Postpartum, Perimenopause & Menopause

Professional Training

yoga for mental health & trauma sensitivity APPLICATION

HOME/
PROFESSIONAL TRAINING/
- Yoga For Mental Health YTT
- Mental Health Professionals
About/
free resources/
YOGA THERAPY/
blog/

PLEASE COMPLETE THE FOLLOWING IN APPLICATION FOR THE YOGA FOR MENTAL HEALTH YOGA TEACHER TRAINING

Name *

First Name

Last Name

Email *

What is the best phone number to reach you at? *

Have you completed a 200hr yoga teacher training? *

Yes

If you answered no to the questions above please provide a brief summary of your qualifications and interest in this program.

Do you work primarily with groups or one-on-one? *

Groups

One on one

Both

Briefly describe your experience with yoga, meditation/mindfulness and breath work *

No experience is needed. This information is strictly so I can direct the training and pre-work according to experience.

Are you currently suffering from untreated acute emotional distress? *

Yes

If you answered yes to the question above please tell me a little more about what is going on for you (all answers will remain confidential)

Is there anything you would like me to know about yourself or your clients before the immersion begins?

Will you be a paying deposit, in-full or do you want a payment plan *

Deposit ($100)

In-full ($497 before 12/18 or $597 after)

Payment plan (3 payments of $230)

Payment type *

What is your preferred payment type. If you pay by credit card there will be a 5% administration fee added to the cost of the course.

Credit Card

E-transfer

Do you identify as a person with limited financial resources and would like to be considered for a subsidy?

If you answer yes I will be in touch to discuss options. Subsidies are offered on a sliding scale based on household income and self-determined access to resources.

Yes

Thank you! I will be in touch shortly with registration details.

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First Name

Last Name

Email Address

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Thank you!