SUP YOGA INSTRUCTOR TRAINING Application Form

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					                           SUP YOGA INSTRUCTOR TRAINING
                                  Application Form
                                                  Must be completed in full and please print neatly




 Prior to admission, complete the Application and submit it with a non-refundable check deposit of $300.
           Payment plans are not available. Checks are made payable to: OceanSUP Yoga, LLC.
        Our mailing address is: 22431 Antonio Pkwy., #B160-252, Rancho Santa Margarita, CA 92688

Name:                                                                      Birthdate:

Primary Phone: (            )                                     (cell preferred)

Address:

City:                                                                      Postal Code:

Email Address:

Emergency Contact Name:                                                    Contact Phone: (        )

                      WHAT YOGA TRAINING/EXPERIENCE DO YOU HAVE?




                                ARE YOU CURRENTLY TEACHING YOGA?

        No:              Yes:            Where:

                       WHAT SUP TRAINING/EXPERIENCE DO YOU HAVE?




                                     MEDICAL/HEALTH BACKGROUND
              *Please list any past or present injuries, surgeries, major illnesses. We respect your privacy.*




                            HOW DID YOU HEAR ABOUT OUR PROGRAM?
REFUND POLICY – There are no refunds on deposits once your application is approved. Balance is due 10 business days
prior to training. All payments are non-refundable.

I certify that the above information is true to the best of my knowledge and that I will not hold OceanSUP Yoga, LLC or
their instructors liable for any mishaps arising from my participation in these SUP Yoga Instructor classes. I have read
and understand the terms and conditions as outlined in this document and agree to be bound by these conditions. I
understand that I must have a current CPR certification and be able to swim to receive certification. I understand that
before starting this exercise program, it is my responsibility to consult my physician.

I ACKNOWLEDGE THE RISKS INVOLVED IN PARTICIPATING IN THIS INSTRUCTOR TRAINING AND I ASSUME ALL LIABILITY
FOR PARTICIPATION AND RELEASE OCEANSUP YOGA, LLC FROM ALL LIABILITY.


Signature:                                                       Print Name:

Date:




FOR OFFICE USE ONLY

Application Reviewed By

Deposit Received:           /          /             #

Balance Received:           /          /             #

				
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posted:3/23/2014
language:English
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