Name
Address
City
Province/State/County
Phone ( Include Country Code)
Postal Code
Email
URL http://
Birth Date
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January
February
March
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Please note Course Materials will be shipped to the address above. If your shipping address is different please inform SSYS.
Choose Foundation Yoga Training Course
500 Teacher Training
500 Scholarly Studies
Choose Practicum & Advanced Yoga Study
2009
Pregnancy Yoga Course ITALY June 1-25, 2009 : €5,247.00
Chakra Yoga Course GREECE Aug 3-27, 2009 : €5,247.00
2010
Pregnancy Yoga Course CANADA March 1-25, 2010 : $7,999.00(CAD)
Pregnancy Yoga Course FRANCE June 1-25, 2010 : €5,247.00
Chakra Yoga Course AUSTRALIA Aug 2-26, 2010 : $7,999.00(AUD)
List General Yoga Knowledge &/or Experience
Do you meditate? if so, what type(s)
Provide information about your health with pervious or on-going concerns or injuries.
List what physically/mental activities you practice
Provide name and number of Emergency Contacts
Medical
Personal
Tell us about yourself in regards to yoga in your life, love, family - that which you
want to share .
Please limit to 1000 words.
Please include a photo of yourself with your application. We appreciate for purely esthetical reasons a creative photo, though will accept a nice photo too.
Photograph
We accept gif, jpeg, Bitmap or Tiff formats. Maximum file size 500K.
Where did you hear of Six Senses Yoga Society?
Application Fee: $100 (CAD)
Payment Options
Paypal
Cheque or Money Order
Please enter the word you see in the image below: 
You will be contacted by telephone within a week of your registration application.
Thank you for registering with Six Senses Yoga Society.
Please acknowledge you have read, understand the application & read through the training completely, and all is true to the best of
your knowledge. ( Please note all transportation to/from Practicum is the responsibility
of the participant.)