Registration Form

Please fill out the following information and send to yaakuntik@gmail.com

• First Name:
• Last Name:
• Contact email:
• Home Phone:
• Mobile Phone:
• Other Phone:
• Where are you from?
• Where do you currently live?

Please mark which training you are registering for:

1. Teacher Training Level I
2. Rasa Lilla

• How long have you been practicing yoga and which styles?
• How long have you been practicing Anusara yoga?
• Do you have any medical conditions or injuries?

The trainings will be taught in English.  Please mark one of the following choices:

1. Yes I understand English
2. No, I need translation in Spanish please

If you are a teacher:

• How long have you been teaching yoga?
• Where do you currently teach?
• What styles are you teaching?
• Are you interested in obtaining Anusara Inspired status?
• Are you interested in this training as part of continuing education?

Will you pay in:

1. Dollars
2. Pesos

• How did you hear about these trainings?
• Can we answer any other questions?