Registration Form

This comprehensive page includes a detailed registration form, the class etiquette, and a waiver of liability. Please take a moment to fill out and read the important content as it will ensure a smooth unfolding of our shared experience. You will find the "Submit" button at the very end of this long page. We appreciate your patience in the process.

1) PERSONAL

 

Which location & month are you registering for?

Please upload your photo by clicking below.

2) EMERGENCY CONTACT

3) YOGA EXPERIENCE



4) HEALTH

The following will be used by our training staff to better assist you during the YTT. Your answers will be kept in strict confidence within the Akasha administration, with a view to guide your individual program.

Are you taking any medication for physical or psychological conditions?
YesNo

Do you have any chronic physical limitations, injuries or disabilities?
YesNo

Do you have a history of psychological or emotional illnesses or issues?
YesNo

Do you have an infectious / communicable disease?
YesNo

Have you had a serious illness or major surgery within the last five years?
YesNo

Are you currently pregnant or trying to become pregnant?
YesNo

If you answered yes to any question above, please give a short explanation.

Have you used tobacco, alcohol, or recreational drugs in the last years?
YesNo

Do you currently continue to use any of these substances?
YesNo

What is your primary diet?
VeganVegetarianAnimal BasedOther

5) IN DEPTH

This section is intended to give us a better understanding of you as a person. We encourage you to include any transformational experiences or turning points in your life that have brought you to your current personal relationship with Yoga and spirituality.

I have read and understood the refund policy.
Link to the refund policy

Please check this checkbox, if you would like to receive our occasional newsletters.

“By typing my full name below, I affirm that the information provided on this registration form is true and complete to the best of my knowledge.”

CLASS ETIQUETTE

The following agreement ensures a beneficial learning atmosphere for all participants. Please read the text carefully, and confirm by ticking each box.

I understand that this Teacher Training can be an intense and challenging experience for me and my fellow students. I will do my best to adopt a positive attitude, and I will provide a loving and supporting environment for others. I agree to conduct myself in a respectful manner towards all teachers, fellow classmates and staff.

I understand that this is a demanding full-time course. I will devote my time and energies to give full priority to this training, practicing responsibility, ownership of my emotions, thoughts, and actions, and consistent engagement in self-study and self-awareness.

I understand that 100% punctuality and active participation is expected for all classes. Early arrival 5 minutes before each lecture/practice is required.

I understand that attendance to all classes is mandatory to complete the course. In the event of a properly excused absence, I understand that I can miss no more than two course days in total. Legitimate reasons could be sickness or administrative issues, e.g. visa. I also understand that if I miss more than the allowed number of hours, in compliance with the official Yoga Alliance standards, I am not entitled to receive the accredited Yoga Instructor Certificate.

I understand that using electronic devices during a class or a lecture is disruptive for myself and others, and I agree not to use any electronic devices during the sessions.

I understand that I am required to fulfill the above obligations in order to remain on the course, and that tuition payment alone does not guarantee certification from the Akasha Yoga Academy Teacher Training. Punctuality, full participation, completion of all practicum assignments, demonstration of an understanding of the training content in a final exam, as well as acting in a respectful manner will ensure certification and successful completion of the training.

I agree to abide by the payment policy: US $ 200 non-refundable deposit paid upon initial registration; closing date for full payment is one month prior to the training’s commencement. To benefit from the early-bird offer, the full payment is due two months prior to the course start date.

The tuition includes daily breakfast, (additional lunch buffets for the courses in Bali), all teachings, handbooks and manuals, Yoga Alliance accredited certificate, letter of recommendation, and ongoing assistance in our long-term support program. I understand that the tuition does not include transportation, accommodation and further meals.

I love Yoga :)

TERMS & LIABILITY RELEASE

This contract shall be governed by and interpreted in accordance with the laws of the Federal Republic of Germany, without regard to principles of conflicts of laws. Please read carefully, then sign and date below.

1. I understand that the teacher training includes yogic practices, which might imply uncommon physical activities for me (such as prolonged sitting meditations, breathing exercises, Hatha Yoga, etc). I am also aware that this training may challenge my common belief system, and therefore might provoke psychological reactivity. The content and the practice might evoke purification reactions on different levels: physical, emotional, and mental, and this may be sometimes unpleasant, but is usually not dangerous. I confirm that I am in a proper physical and psychological condition to participate in all these activities.

2. I voluntarily participate in this program with full knowledge that there are risks associated with many activities, and I agree to accept any risk that arises because of my participation. I further acknowledge that the activities mentioned above may be emotionally and/or mentally more demanding than my usual activities. I acknowledge my responsibility for exercising my own judgment in choosing to participate in certain exercises.

3. As a condition of enrolling for this course, I hereby personally assume all risks in connection with said course, for any harm, injury, or damage that may befall me while I am enrolled as a student of the Akasha Yoga Academy, including all risks connected therewith, whether foreseen or unforeseen.

4. I further exempt and hold harmless Akasha Yoga Academy and Released Parties (including all employees, volunteers, instructors, and agents of Akasha Yoga Academy or its host resorts) for any claim or lawsuits by me, my family, estate, heirs, or assigns, arising out of my enrollment and participation in this course.

5. I hereby understand that the Akasha Yoga Academy from time to time may photograph or video record classes or events occurring in its halls, and may place such photographs and videos on websites operated by the Akasha Yoga Academy, namely the website located at AkashaYogaAcademy.com and official accounts operated by the Akasha Yoga Academy on the social media platforms Facebook, Instagram, Google+, and Youtube. I hereby consent to the use of my image that may appear in any such photograph or video.

“By typing my full name below, I affirm that I carefully read this agreement and fully understand its contents. I sign it of my own free will, and knowingly accept any and all risks, and I release any and all parties of any and all potential liabilities."

© Copyright - Akasha Yoga Academy 94/20 Moo 1, Beach House, Thongsala, Ko Phangan, Surat Thani 84280, Thailand. Phone: +66 (0)9 5030 2737