**If you have trouble submitting this form, email apfeiffer@thestudiomadison.com to inquire about August 2020 Teacher Training**

Find your Catalog Volume (listed on cover/front of catalog)



Please complete the medical history section below so that we can be sure to respond to any emergencies should they occur during your training and address any contraindications. Please note that none of your responses will exclude you from being accepted into the program. Your answers are confidential.

To Help us in assisting you to get the most from your training…

How Much is your Interest in the Training to….

Deepen Your Practice?
Become the Best Yoga Teacher You Can Be?
Take Yoga off the Mat Into Your Life?

Almost Done!

Click or drag a file to this area to upload.
(PDF or Microsoft Word ONLY)

SPECIAL NOTE: You ONLY need to fill out the next sections (Regarding Certification, Training and Self Assessment) if you chose Advanced 300 hour Training

Where did you get your Current Certification?

How Many Classes have you:

Self Assessment

Please Self Assess your capability with the following Teaching Skills / Knowledge: (This is to help us provide a good fit of material for your continuing education)

1 = Poor, 3 = Adequate, 5 = Average for a Yoga Teacher, 7 = Very Good Amongst Yoga Teachers, 10 = Elite Among Yoga Teachers

Don’t stress it, just give your best answer. Many of these may not matter depending on what you teach. It gives us a sense of where you are compared to where you want to go. Your answers here do not remotely impact whether you get into the program or not.


*By sending in this application form you are registering for The Studio – Yoga Teacher Training program (either 100 or the full 200 hours). A $200 deposit will need to be made with the application before it is reviewed. Per the catalog, this Deposit is Non-Refundable should you withdraw of your own accord.