Interested students should submit this application by email to yogabarcincy@gmail.com APPLICATION FORM The Yoga Bar Please copy this form into an email, complete and send us your application by e-mail to: yogabarcincy@gmail.com Personal Information
First name: ……………………………………………………………………………………………..
Last name: ………………………………………………………………………………………………
Date of birth: …………………………………………………………..……………………………..
Address: …………………………………………………………………………………………….
Zip code: ……………………………………………………………………..………………………….
City: …………………………………………………………………………………………………………
E-mail: …………………………………………………………..……………………………………….
Phone: ……………………………………………………………..…………………………………….
Current occupation or interests: ……………………………………………………..…..
How did you find us: …………………………………………………………………………….. Disclaimer
I ____________________________________________ (print name) understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly.
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against THE YOGA BAR, Rachel C. Roberts and any teachers operating out of the space at 825 Main Street, Cincinnati, Ohio. Furthermore, I declare that I agree with the deposit, refund and course completion rules.
Signature: …………………………………………………………………………….
Please answer the following questions: 1. Why do you want to participate in Yoga
University?
2. Please give detailed information of your Yoga history and experience.
3. What are your personal challenges in your Yoga practice?
4. What style of Yoga do you practice, how often?
5. What style of meditation do your practice, how often?
6. Do you have an injury or disability that restricts your Yoga practice?
7. Are you under therapy or taking medicines on a daily basis?
**If applying for the Teacher Training Certificate (and not currently a Yoga Bar student) please include a letter of recommendation from your yoga teacher(s). Please ask them to write their assessment of your practice - the strengths and challenges of you practice, your commitment and dedication to Yoga and their understanding of your readiness for a Teacher Training program.
Reading List (required for course study):
• Hatha Yoga Pradipika (translated by Sri Swami Satchidananda)
• Anatomy of Hatha Yoga by David Coulter
*More required texts may be added.
Additional options for pre-course study and for ongoing learning (not required) Light on Yoga by B.K.S. Iyengar
The Heart of Yoga by Desikachar
The Shambhala Encyclopedia of Yoga by G. Feuerstein
The Shambhala guide to Yoga by G. Feuerstein
Introduction to Yoga or The Yoga Tradition by G. Feuerstein
The Spirit and practice of moving into stillness by E. Schiffmann
Theories of the Chakras by Dr. Hiroshi Motoyama
Asana, Pranayama, Mudras, Bandhas by Swami Satyananda Saraswati
Jnana Yoga by Swami Vivekananda
I am that by Sri Nisargadatta Maharaj
The Autobiography of a Yogi by Paramahamsa Yogananda
Anatomy of Movement by Calais-German |