21 Stages of Meditation Teacher Training Application

Your Name

Date

Address

City

State

Zip

Phone

Your Email

Birth Date

Emergency Contact Name

Emergency Contact Phone

Relation

Other

Can you tell us about your background and experience with meditation, Kundalini yoga or other yoga practices?

What do you most enjoy about Meditation?

What challenges you most in your meditation practice?

Where do you currently practice Meditation? What styles and with whom?

Please tell us about any previous teaching experiences, if any.

What has motivated you to join the 21 Stages of Meditation program?

Do you have any injuries or health conditions that we should know about?

What three things would you like to get from this training program?

Is there anything else you would like to tell us, or ask us?

Click here to download the waiver agreement before agreeing to the terms of this retreat.

Once your application has been accepted and your room choice confirmed you will be required to pay $250 non-refundable deposit.