Yoga Enrichment Study Program

• Reserve your space by completing this application and pay tuition online: https://www.wellnessliving.com/rs/catalog-view.html?id_sale=1&k_id=2421997 OR Make check payable to: Open Doors Yoga Studio, Mail check to: Marissa DeLisle, Open Doors Teacher Training, 45 West Street, Braintree, MA 02184. QUESTIONS? Contact: MarissaOpenDoors@gmail.com THANK YOU!

• How did you hear about us?

  • Facebook
  • Newsletter
  • Friend
  • Website
  • Open Doors Yoga Instructor (Please list name below)
  • Other
• If applicable, please include the name the Open Doors Yoga Studio Instructor who referred you to our program:
• IF OTHER, please explain:
• Please identify the location and start date for the program you would like to attend.

Personal Information

• * First Name:
• * Last Name:
• * Birth Date:
• * Gender
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• Phone:

Please tell us more about yourself.

• * Hobbies/Activities/Interests:
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• * Please list any previous yoga experiences (length of time, specific teachers, types of yoga):
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• * What are your expectations for this training? What do you hope to gain, learn, or work on?
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• * Tell us about your health/injuries/strengths:
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• * Who can we call in case of emergency / telephone number:

• Please submit payment once you have completed this application. This link will also be sent to you in your confirmation email. Thank you! https://www.wellnessliving.com/rs/catalog-view.html?id_sale=1&k_id=2421997 OR Make check payable to: Open Doors Yoga Studio, Mail check to: Marissa DeLisle, Open Doors Teacher Training, 45 West Street, Braintree, MA 02184. QUESTIONS? Contact: MarissaOpenDoors@gmail.com THANK YOU for your interest in our program. We look forward to meeting you!