YOGA TEACHER TRAINING Application Please enable JavaScript in your browser to complete this form. - Step 1 of 14Name *FirstLastEmail *Phone Number *Which Training Are You Interested In?200 Hour Training300 Hour TrainingNextGenderAgeAddressAddress Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryNextCurrent OccupationHow long in current Occupation?Upload a Headshot Image! (Optional) Click or drag a file to this area to upload. Get featured on our social media and website!Shirt SizeX-SmallSmallMediumLargeX-Large2XLNextAre you currently teaching yoga? *YesNoHow Long?What Style(s)How did you hear about Zuda's Teacher Training Program?List all of the previous yoga education, trainings or workshops, including any previous trainings or intensives with Zuda.NextDo you have any injuries, medical conditions, or other physical impairments that would limit your participation in Zuda Yoga's Teacher Training? *YesNoPlease briefly explain your limitations or what accommodations need to be made. *Please do not provide specific medical information on this form. Only discuss limitations as they relate to your participation or discuss with Heidi directly.Do you have any allergies? *YesNoPlease explain briefly.Do you currently take any prescription mediations?YesNoOnly include medications that would possibly be needed during training hours. If so, answer yes and explain below.Please explain briefly. NextEmergency Contact NameFirstLastEmergency Contact AddressAddress Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmergency Contact Phone Number *Emergency Contact Email *Relationship to youNextWhy do you practice yoga?What do you hope to achieve from Zuda's Teacher Training?What makes a good yoga teacher?NextWhat do you find to be the most challenging part of yoga?What is the easiest part of yoga for you?How do you describe an empowered person?NextZuda Teacher Training Agreement TermsBy signing up for this program, there is an expected commitment for you to attend 100% of the training. There is no amount of hours recommended to miss, we are asking that you check the dates before signing up and arrange your schedule to fit the hours given. If health and safety concerns arise, please do not come to training. You are allowed to miss a maximum of 10 hours due to illness or emergency. You will be responsible for any missed materials and will need to make arrangements with a classmate to obtain missed curriculum. The completion of this program results in two things: 1. Graduation: The final weekend is a culmination of all of your efforts and is 100% mandatory for completion of this program. To receive your certificate of completion of the ZUDA 200/300 Hour Teacher Training you must be paid in full, attend 100% of the training hours, and submit all assignments by or before due date. 2. Certification: Zuda provides a 200-hour completion diploma that you can choose to submit to Yoga Alliance to receive your Nationally Accredited Certification. Zuda emails certificates of completion within 60 days following final day of training. Paying for the program and attending the hours is not the only requirement for a completion certificate. I fully understand and agree to the above terms regarding attendance. I have carefully examined the dates of the training and am fully committed to attending 100% of the training.We understand that emergencies can arise in life and have the following policy on missed hours. Read carefully and check the boxes that you understand and agree to each policy. *Students may not miss any hours of weekend 4 or 6. If any hours are missed, you do not qualify for certification and may not attend graduation.Missed 1-10 hours: No makes ups, still qualify to receive certification & attend graduation (unless a portion of these hours were weekends 4 & 6.).Missed 11 and over hours: No make-ups, do not qualify for certification, & may not attend graduation. Trainings are non-refundable after start date.Type your nameFirstLastDateNextDown Payment InformationA non-refundable and non-transferable deposit of $600 is due with this application. At the end of this application, you will be given a link to make your deposit. This deposit is then subtracted from the total cost of training. Upon acceptance into the training, we will charge the remaining amount to the same credit card used for deposit. If you requested a payment plan, you will be charged on payment due dates with the card provided and used for your deposit. If you prefer a different payment method be used please notify Teacher Training Faculty. If for any reason you are not accepted into the program, your deposit will be refunded in full.Would you like to request a payment plan?YesNextRefund PolicyPlease note: The $600 deposit is non-refundable and non-transferable. Zuda Yoga LLC reserves the right to accept or reject any student as a participant. (If for any reason you are not accepted into the program, your deposit will be refunded in full.) If a student withdraws from the course: 31+ days prior to training, full refund minus deposit 16-30 days prior to training, 50% of training balance, minus $500 deposit 15 days prior to training, no refund Once training begins: no refund. Zuda Yoga LLC reserves the right to make changes to the program whenever Zuda Yoga seems is necessary for the comfort, convenience or safety of the students. Zuda Yoga LLC reserves the right at any time to ask you to leave the training if a facilitator feels: you pose a risk to the safety — physical, mental or emotional — toward the facilitators or other students; your behavior is disruptive, inappropriate, negatively impacting other student learning or unethical; or you are compromising the learning process of the group. Under such circumstances, I understand I will not be refunded any of my tuition. I have read and accept the refund policy.Type your name *FirstLastDate *NextDate *NextGeneral ReleaseThis General Release Agreement (“Agreement”) is executed and given by the person named hereinbelow (“Releasor”) in favor or Zuda Yoga LLC, a California Limited Liability Company, and its officers, directors, shareholders, employees, successors, predecessors, agents, assigns and affiliates (collectively “Releasee”) as of date indicated below. RECITALS A. Releasor has elected, of Releasor’s own free will, and after having had an opportunity to investigate the relevant facts and circumstances, to participate in yoga classes, yoga teaching training sessions, or other services or activities from time-to-time provided by or associated with Releasee, and to enter upon property or facilities owned or leased by Releasee (collectively referred to as the “Covered Activities”). B. Accordingly, Releasor hereby acknowledges, confirms and agrees as follows: 1. Assumption of Risk. Releasor understands the scope, nature and extent of the Covered Activities and has consulted with his or her own physician or medical advisor regarding his or her physical fitness level, mental status and any other special circumstances or conditions. It is Releasor’s responsibility to assess the risks and requirements of all activities in which Releasor engages. Releasor expressly acknowledges and agrees that he or she understands the scope, nature and extent of the risks involved which could under certain circumstances result in physical injury or death, and Releasor knowingly accepts and assumes all such risks and responsibilities in any way arising out of or related to the Covered Activities. 2. Release from Liability. In consideration of the benefits of the Covered Activities and other benefits provided by Releasee, and for other valuable consideration, the receipt of which is hereby acknowledged, Releasor hereby discharges and releases Releasee, and each of them, from any and all liability for any claims, demands, causes of action, losses, damages, injuries or death regardless of the cause, including the active or passive negligence of Releasee, sustained by Releasor or Releasor’s property in any way, directly or indirectly arising out of or related to the Covered Activities; this includes without limitation: (a) personal injury (including death) from accidents or illness arising from the participation in any physical or ordinary activities, including without limitation classes, observations, individual use of facilities, premises or equipment; and (b) any and all claims resulting from the damage to, loss or theft of any property. 3. Indemnification. Releasor hereby agrees to indemnify and hold Releasee, and each of them, harmless from any claims, causes of action, liabilities, demands or expenses, including court costs and attorney’s fees, directly or indirectly arising from any action or proceeding brought by Releasor or prosecuted for or on Releasor’s behalf by any other person contrary to this Agreement or in any way related to the Covered Activities. Releasor agrees that this is a general release and expressly waives the provisions of California Civil Code Section 1542 which provides: “A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.” 4. Acknowledgement of Understanding. Releasor has read this Agreement and fully understands its terms, including that Releasor is giving up substantial rights, including rights to bring a legal action against Releasee. Releasor acknowledges that Releasor is signing the Agreement freely and voluntarily, and with the agreement and understanding that the terms of the Agreement shall be binding upon Releasor and Releasor’s spouse, domestic partner, executors, guardians, legal representatives, heirs, successors and assigns.Executed at *Enter Your Address AboveExecuted on *Date SigningRELEASOR SIGNATURE *Type Your NameNextSubmission!I hereby declare the information in this application to be true and complete. I understand that providing false information is grounds for rejection of this application, expulsion from the program, or revocation of certification. I’ve read each section & accept the requirements of each *Enter Yes above to ProceedDate *UPON SUBMISSION:UPON SUBMISSION, YOU WILL AUTOMATICALLY BE REDIRECTED TO ANOTHER PAGE WHERE YOU'LL SEE INSTRUCTIONS TO MAKE YOUR $500 DEPOSIT TO COMPLETE THE APPLICATION PROCESS.Submit