200 Hour Immersion Yoga Teacher Training – Long Beach, New Brunswick Student Details Tell us about youStudent Name* First Last Email* Phone*Birthdate* MM slash DD slash YYYY Student Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Where did you hear about the SOYA Teacher Training?* Please be specific. If a SOYA teacher referred you to the training, please give us their name. If you found us through google search, Yoga Directory Canada online, or another online website, please indicate the source.Have you been practicing yoga for at least one year?* Yes No Do you have any experience teaching yoga?* Yes No Please tell us what inspired you to become a yoga teacher.* AccommodationsAccommodations* Shared room with a mattress and pay $270 for 18 nights I will bring my RV and pay $270 for 18 nights I will bring my tent and pay $180 for 18 nights I will commute daily and pay $100 for 17 days Please select your Accommodation option. You will send etransfer payment to Court at cfmollinsbidlake@gmail.com. Meals* I will email payment of $529 for my meals. Self-serve breakfast, main meal at mid day, and a light supper each day. All meals are vegetarian. You will etransfer payment for meals to cfmollinsbidlake@gmail.com.We can accommodate limited dietary restrictions. Please indicate below any dietary restrictions you have. Payment DetailsHow much will you be paying today?* Full price $3,200 + GST Deposit $650 + GST If you are paying FULL TUITION at the time of registration a Discount code will appear below for you to apply against your tuition. If you are only paying a deposit, do you require a payment plan?* Yes No thank you. Charge my credit card any remaining fees 35 days prior to the start of the training. Payments are processed on the 1st or 15th of the month, with the requirement you are paid in full 35 days before the start of the training. Please outline the dates and amounts for your payment plan.* Only credit cards are accepted for payments plans. Enter the Discount code BRUNSWICK when paying in full and save $300. Total $ 0.00 CAD What payment method would you prefer to use today?* Credit Card E-Transfer If you wish to pay by e-transfer, please email bob.soyayoga@gmail.com with your payment.Credit CardCard Details Cardholder Name Waiver and Cancellation PolicyYour personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy*.* I have read and agree to the website Waiver & Cancellation Policy* Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy*.CommentsThis field is for validation purposes and should be left unchanged.
