Address: Stroombaan 4, Amstelveen, 1181 VX, NL
Telephone: +31 (0) 653 655805

Register

Please fill in this form to apply for any of our courses. If you meet the requirements we will be in contact to see when you could get started. Registration is free and non-binding.

Name*
First Name Surname
Date of Birth*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Contact Phone Number*
Email Address*
Website
(Optional) If you're a business please provide your company details
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
VAT Number
Level of English*
Are you a 200-hour certified yoga teacher?*
- Yes
- No
Yoga Certifications
Please list your Yoga certifications:
School Name:
Location:
Date of graduation:
Date Format: MM slash DD slash YYYY
Certification/Diploma obtained:
Higher Education (optional)
DO YOU HAVE ANY QUALIFICATIONS THAT MAY BE RELEVANT TO YOGA THERAPY?
WORK EXPERIENCE (OPTIONAL)
Please write a short description of your work as a yoga teacher or therapist in the past year:
Reasons why you would like to join the Yoga Therapy Institute Courses:
REFERENCES (OPTIONAL)
Please write the name of a teacher or mentor that we can contact for references.