CONTINUING EDUCATION (YACEP)

Yoga Skyros Academy will advise Bank Account after receival of your application for payment of 50 % Deposit to confirm Reset Retreat.

Please kindly fill up the Registration Form and submit to us.

Name (required)

Email (required)

Address:

Phone:

Birthday:

Sex:
 Male Female

Kids:

Occupation:

Since how-long do you practice Yoga?

What do you expect from this certification:

Emergency Contact Name:

Emergency Contact Tel:

Primary Physician Name:

Primary Physician Tel:

1. Have you ever had any injury,illness, back or joint condition that may be aggravated by vigorous exercise?
 YES NO

2. Have you ever had: Arthritis, Asthma, Circulation problem or an Ulcer?
 YES NO

3. Have you ever had a Heart condition,High Blood Pressure, Rheumatic Fever, Stroke, High Cholesterol, Palpitations, Mummers or pains in the chest?
 YES NO

4. Have your mother, father, brother or sister had any heart problems prior to age 60?
 YES NO

5. Are you pregnant or recently been pregnant?
 YES NO

6. Have you been doing regular vigorous exercise lately, if YES, what type of exercise?
 YES NO

7. I confirm, that I conduct my Yoga Teacher training certification at my own risk and waive any liabilities toward my trainer and YogaSkyros.
 YES NO