Welcome to Your Inspired Future! You can expect an email once we have received your information to confirm your application receipt and to discuss the next right steps in your journey. Thank you for considering MOYO's Teacher Training Program! Step 1 of 2 50% APPLICANT INFORMATIONName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Birth Date Email Home PhoneAdditional PhoneAdditional Phone TypemobileworkotherMOYO’s teacher training is an intensive physical, emotional, and mental experience. All applicants must have prior yoga experience (with a minimum of two years asana practice) and a familiarity of the MOYO experience. Total commitment to this program is a must and should not be taken lightly. Applicants must be physically and mentally stable to attend this program — determination of this will be at the discretion of the program director. Acceptance, graduation, and certification are subject to the approval of the course director. Upon receipt of this completed application and application fee of $50, MOYO will review the application and respond to the applicant within seven days. On approval, applicant has 10 days to submit a $500 course deposit to secure admission. This completed application and fee is valid only for the training specified above. A new application and fee must be submitted for any other training. Please sign below to confirm that you have read and are in agreement with the above terms. APPLICANT QUESTIONNAIREName Current OccupationEducationHigh SchoolCollege/DegreePlease list any other relevant training and certifications.Emergency ContactsName First Last PhonePhone TypehomemobileworkotherName First Last PhonePhone TypehomemobileworkotherQuestionsHow did you hear about MOYO?What are you expecting to learn from this teacher training course?What are you planning to do with this certification?If female, are you pregnant or do you plan on becoming pregnant during this training?Please describe your emotional health and history (depression, mental illness, etc.) Do you think this will affect your participation in this program?Have you ever been abused (emotionally, physically, or sexually)? If so do you think this will affect your participation in this program?Please describe current dietary preferences and restrictions.Are you currently taking any medications?What other types of physical activities do you enjoy?Please provide details of any past, recent, or reoccurring injuries or physical limitations which may effect your participation in this training.Please Attach the Following:Your Yoga HistoryTell us about yourself in a one-page typed summary including: 1) the history of your yoga practice and meditation, 2) how and when you started, 3) styles you have practiced and the frequency, and 4) the impact yoga has had on your life. Also, please describe your 5) current yoga practice, 6) what is your reason for this certification, and 7) what do you foresee to be your greatest challenge or obstacle, if anyA letter of recommendation This may be from a current or past teacher or a personal acquaintance familiar with your yoga practice and its integration into your daily life.A recent photo of yourselfHEALTH INSURANCE INFORMATIONProvider NamePolicy NumberPolicy Expiration I acknowledge that I am participating in yoga classes, workshops, events, and/or activities during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand it is my responsibility to consult with a physician prior to and regarding my participation in yoga classes. I represent and warrant that I am physically fit and have no medical condition which would prevent my full participation in the yoga classes. I am voluntarily participating in these activities with knowledge of the risks of injury. I assume all responsibility and liability for any and all injuries I may sustain due to my participation in these activities.In consideration for being permitted to participate in the yoga class, workshop, event, or activity, I agree that I, my heirs, assignees, guardians, and legal representatives will not make any claim against, sue, or attach the property of, any of the hosts, instructors, organizers, or participants in the yoga class, workshop, event, or activity including but not limited to Maureen Priest and MOYO, for injury or damage resulting from my participation in such yoga class, workshop, event, or activity. I release all such hosts, instructors, organizers, and participants, their agents and heirs, from any and all actions, causes of action, lawsuits, claims, or demands that I, my assignees, heirs, guardians, and legal representatives now have or hereafter may have for any and all injury, illness, loss of or damage to property associated with my participation in the yoga class, workshop, event, or activity. I knowingly, voluntarily, and expressively waive any claim I may have against MOYO for injury, damages, or loss that I may sustain as a result of participating in any program. I, my heirs and legal representatives’ forever release, waive, discharge and covenant not to sue to hold responsible MOYO and any of its affiliates for any injury, loss or death cause by their negligence or other acts. I also give permission to have my picture taken, reproduced, and used for promotion and advertising. I have carefully read this agreement and fully understand its contents. I have signed this release freely and voluntarily. I am aware and agree that it is a complete release of liability for any injuries or damages I may sustain due to yoga classes, workshops, events, and activities with MOYO and all such hosts, instructors, organizers, and participants. This iframe contains the logic required to handle Ajax powered Gravity Forms.