Certificate Application:
Name as you wish it printed on your Yoga Studies certificate of completion:
_______________________________________________________________
Mailing information:
Street _________________________________City ______________________
State ____ Zip ____________Country (if other than U.S.A.) ___________________
Phone:
Home (____)__________Work (____)__________Cell (____)____________
Email: __________________________________________________________________
Certificate Request (circle one): 200-hour 500-hour 750-hour 1000-hour
Submit Documentation:
attendance (CONTACT HOURS broken down by date, time, daily total, final total - use tracking grid provided for each month)
payment history (list each payment and date)
log of personal practice (date, length of practice and focus)
documentation of a minimum of 50 hours of class attendance with an approved Yoga Teacher in addition to training contact hours (list date, instructor, location of class)
Certificates of Completion will be issued providing all required documentation has been submitted.
Date:_________________________
Signature: _____________________________________Date:_________________
***Submit completed application and all required documentation to Hosting Studio Director or Program Director for review.