Advanced Studies Program :: Registration

Please highlight and copy the contents of this page into an email. Send your completed form to Leslie Kaminoff.

* Name:
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* Please indicate how you’d prefer to be contacted:
e-mail address:_ _ _ _ _ _ _ _ _ _
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Phone (Eve.):_ _ _ _ _ _ _ _ _ _
Cell:_ _ _ _ _ _ _ _ _ _

* Address:
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* I am interested in the:
__72-hour non-certificate Yoga Anatomy program
__72-hour non-certificate Application of Breath-Centered Yoga program
__100-hour Certificate Course
__200-hour Breath-Centered Yoga and Yoga Therapy Certificate Course
__not sure

* Please state in as much detail as you can what you would like to gain from this course.
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* Please state in as much detail as you can your previous training, education and experience in the fields of yoga, bodywork, anatomy, etc.
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* Do you have any injuries or health conditions that are relevant to your participation in this course? Do you wish this information to be kept private?
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* The dates and times of the course hours are listed on this website. Do you have any commitments that would prevent you from completing this course, or from arriving to the class sessions on time?
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For further information, and to submit your application, contact Leslie Kaminoff.