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Application form

Please fill this application form out, print it out, sign it and send it with your deposit - check or money order payable to Nada Productions; no credit card! - and the discription of your background to...

Yogi Hari's Ashram - 12750 SW 33rd St.  - Miramar, FL 33027  - USA

First Name:

Last Name:

Address:

City:

State:

Zip:

Country:

Tel home:

eMail:

Gender:

Date of birth:

Age:

Occupation:

Special Talents & Skills:

Hatha Yoga practice since:

If Yes, method:

Meditation practice since:

If Yes, method:

I have tought Hatha Yoga (yes/no):

If Yes, please describe:

I learned about your course from:

Is English your primary language?

If not, what is it?

I sign up for:

Sampoorna Yoga Teachers Certification Course (SYTCC) 200 hrs.

    2 weeks residential:
SYTCC Jun 13- 27, 2008
SYTCC Nov 7 - Nov 21, 2008

    6 weekends:
Weekend SYTCC Aug 29- Oct 5, 2008

Sampoorna Yoga Advanced Teachers Certification Course (SYATCC) 300 hrs.

3 weeks residential:
   SYATCC Nov 21- Dec 12, 2008

Sampoorna Yoga Family Retreat

           Jun 27 - Jul 4, 2008

On a seperate sheet of paper please describe briefly your personal and occupational background as well as the spiritual background that has influenced you to apply. Please include a recent photograph.

Family Retreat
Enclosed is my deposit of $200 (single person)
Enclosed is my deposit of $450 (family)

Enclosed is my full payment of $900 (single person)
Enclosed is my full payment of $1500 (family)

SYTCC,
Weekend SYTCC
Enclosed is my deposit of $600

Enclosed is my full payment of $2000
Enclosed is my full payment of $1500 (*)

SYATCC
Enclosed is my deposit of $900

Enclosed is my full payment of $3000
Enclosed is my full payment of $2500 (*)

SYTCC & SYATCC
Enclosed is my deposit of $1500

Enclosed is my full payment of $4500 (10% disc.)
Enclosed is my full payment of $4000 (*)

(*) international discount only available for certain courses; see here: SYTCC / ASYTCC.
To use the international discount please send a copy of your plane ticket with this application form.

Please make your check payable to "Nada Productions".

Please note: No refund on deposit once your application is approved. In case of emergancy you may transfer your deposit once on another course. Full payment is due before the course begins. No refund whatsoever after the course begins.

Signature:      Date:

First Name:		Last Name:
Address:		City:
State:		Zip:
Country:		Tel home:
eMail:		Gender:
Date of birth:		Age:
Occupation:
Special Talents & Skills:
Hatha Yoga practice since:		If Yes, method:
Meditation practice since:		If Yes, method:
I have tought Hatha Yoga (yes/no):		If Yes, please describe:
I learned about your course from:
Is English your primary language?		If not, what is it?

Family Retreat	Enclosed is my deposit of $200 (single person) Enclosed is my deposit of $450 (family)	Enclosed is my full payment of $900 (single person) Enclosed is my full payment of $1500 (family)
SYTCC, Weekend SYTCC	Enclosed is my deposit of $600	Enclosed is my full payment of $2000 Enclosed is my full payment of $1500 (*)
SYATCC	Enclosed is my deposit of $900	Enclosed is my full payment of $3000 Enclosed is my full payment of $2500 (*)
SYTCC & SYATCC	Enclosed is my deposit of $1500	Enclosed is my full payment of $4500 (10% disc.) Enclosed is my full payment of $4000 (*)