Email Address

Address

What do you desire to get out of this training?

Medical History

Please include any relevant information including allergies, surgeries, injuries, medications, mental health, current or former addictions, etc...

Preferred Lodging Option & Budget

Please let us know what your ideal lodging would consist of. For example: private apartment, private room, hotel, hostel, etc... and your budget for the month for lodging. Please also fill out the Lodging Questionnaire if you desire additional assistance from YiA.

Yoga Experience

Briefly explain your experience with the practice of yoga.

Please list all languages you speak.

The primary language we offer the trainings is in English, but fully Spanish & bilingual trainings are also offered.

Emergency Contact Phone Number

Got Questions?

Please lets us know if we can answer any additional questions for you regarding the training.

If you selected "YiA Studio Ambassador" or "YiA Individual Ambassador" to the previous question, please name the studio or individual that referred you.