India Application 2016

Full Name: *
Age: *
Mailing Address: *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Email: *
Phone Number: *

Occupation: *
Education Level:
Your experience practicing yoga:
Your experience practicing Ashtanga Yoga, including teachers in the lineage you have studied with and for how long:
Describe your current practice:
Describe personal reasons for wanting to attend this course:
Please provide any additional background or current information about you that you would like to share, or that may be helpful for David to understand your interest in this course.
Would you like to participate in Track 1 or Track 2? *If a student plans to attend the Intensive from Feb 14th-Feb 26th they will need to gain permission from David to sign up for Track 1.
What dates are you planning to attend?

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