BASICS 240 2007 APPLICATION FORM

The next Ukiah Basics 240 program will begin March 26th, 2007.

To register by mail,
print this form, fill out completely (please print legibly)
and mail with fee to:

YOGA MENDOCINO
206#A Mason Street
Ukiah, CA 95482


Our group size will be small, 15 - 20 people.
We will contact you as soon as we can to let you know if you have been accepted in the program.

Please send a $20 application fee with the application
telling us if you are applying for the Ukiah or Coast program.


Ukiah program: $2100 ($2200 if paid in installments). Payment plan available.
Workshops and weekly classes paid separately at time of registration.

FOR MORE INFORMATION:
Contact Yoga Mendocino at 707-462-2580 email: yomo@pacific.net
or call Traci Burleigh, Course Director at 415-515-0052

APPLICATION QUESTIONS:
Please answer the following questions on another sheet of paper as succinctly as possible and send with a $10 non refundable application fee to Yoga Mendocino 206#A Mason Street Ukiah, CA 95482

Name:

Address:

Email:
(It is extremely helpful to have an email address or be willing to take on a temporary address during this program)

Phone: Day: Night:


1. How did you hear about this program?

2. What is your yoga background?

3. What is your current practice of yoga? Include practice time and classes and if you practice pranayama &/meditation

4. Why are you interested in this program?

5. Will you teach and if so in what area of the community?

6. Can you committ to the minimum practice requirements of 30 minutes a day or 3 hours a week ?

7. Have you read and understood that the 30 hours of weekly classes are to be paid at the time of the class and the same is true of the 40 hours of elective workshops?

8. Any questions you have for us!



Thank you for registering. We look forward to seeing you!