Bali Yoga Retreat &
Bali
Yoga Teacher Training
Application Form
If you are interested in Ki McGraw and Bob Smith’s Yoga Teacher
Training Course, please submit the following
application form. An online version of
this form is also available.
If you have questions, please contact Ki or Bob at (206) 632-1443.
Instructions:
1. Print this page.
2. Fill out the form.
3. Mail the form to:
Hatha Yoga Center
4550 11th Ave NE
Seattle, WA 98105
Name:
Date:
Address:
Phone:
Fax:
E-mail:
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If you are registering for the Bali Yoga Retreat, you may stop at this
point.
If you are registering for the Yoga Teacher Training in Bali,
please
complete the rest of this form.
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Date of Birth:
Education:
Occupation:
Work Phone:
Present Job & Employer:
Marital Status:
Number of Children:
Ages of Children:
Past Injuries and/or Surgeries:
Current Therapeutic Practices (concerning the injuries):
Yoga & Meditation Background (including key teachers):
Description of Lifestyle:
Personal Statement Regarding Participation (please add more paper
as needed):
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