Your Name (required) Name as required on the Certificate(required) Date of Birth Your Email (required) Gender ---MaleFemale Country ---AustraliaCanadaFranceGermanyNetherlandsNew ZealandSingaporeSouth AfricaSpainSwitzerlandUnited Kingdom (UK)Albania Mobile Number Subject Food Allergies or Special Request Emergency Contact Person Relation with the Emergency Contact Person Phone Number of Emergency Contact Person Program Details Please Select the Program100-Hour Yoga Teacher Training Retreat Dharamsala200-Hour Yoga Teacher Training Retreat Dharamsala200-Hour Yoga Teacher Training Retreat Rishikesh200-Hour Yoga Teacher Training Retreat Goa300-Hour Yoga Teacher Training Retreat Dharamsala500-Hour Yoga Teacher Training Retreat Dharamsala 100-Hour Program Dates for Dharamshala, India ---29 mar to 10th Apr. 202031 May to 12th Jun. 202028th Jun to 10th Jul. 20202nd Aug to 15th Aug. 20206th Sep to 19th Sep. 20204th Oct to 17th Oct. 2020 200-Hour Program Dates for Dharamshala, India ---29 mar to 22th Apr. 202031 May to 24th Jun. 20205th Jul to 29th Jul. 20202nd Aug to 26th Aug. 20206th Sep to 30th Sep. 20204th Oct to 28th Oct. 202014th Mar to 7th Apr. 202116 May to 9th Jun. 202113th Jun to 7th Jul. 202111th Jul to 4th Aug. 20218th Aug to 1st Sep. 20215th Sep to 29th Sep. 20213rd Oct to 27th Oct. 2021 200-Hour Program Dates for Rishikesh, India ---5th Jan to 30th Jan. 20203rd Mar to 28th Mar. 20203rd Apr to 28th Apr. 20203rd May to 28th May. 20203rd Jun to 28th Jun. 20203rd Jul to 20th Jul. 20203rd Aug to 28th Aug. 20203rd Sep to 28th Sep. 20203rd Oct to 28th Oct. 20203rd Nov to 28th Nov. 2020 200-Hour Program Dates for Goa, India ---4th Oct to 28th Oct. 20201st Nov to 25th Nov. 202029th Nov to 23rd Dec. 20206th Jan to 30th Jan. 20217th Feb to 7th Mar. 20217th Mar to 31st Mar. 2021 300-Hour Program Dates for Dharamshala, India ---26th Mar to 27th May. 202011th Apr to 12th May. 2021 500-Hour Program Dates for Dharamshala, India ---29th Mar to 27th May. 202011th Mar to 12th May. 2021 Is there anything else you would like us to know? I take full responsibility for my own health and well-being during the course and will not hold Siddhi Yoga or any of the teaching staff responsible for injuries or other medical problems that might occur. YesNo I understand that the course deposit is non-refundable and that remaining tuition paid is 100% refundable up until 60 days before course start date, after which time, it becomes non-refundable as well. Also $300/600 non-refundable deposit will be forfeited if I am changing the dates or cancelling it less than 30 days before the training start date due to any reason. YesNo I understand that a positive, team-oriented, optimistic attitude is a requirement for all attendees. Disruptive, rude, or negative behavior will not be tolerated and may result in removal from the course. YesNo How you came to know about us? GoogleYovada.comYoga JournalYoga FinderYoga AllianceYoga ForumOm Yoga MagazineFacebookYoutubeYahooBingStudy PlantOthers Subscribe to the Newsletter Yes AGREEMENT OF RELEASE AND WAIVER OF LIABILITY Consent I declare that I have filled out the form to the best of my knowledge, and the answers to all the questions are correct. I fully understand that any misinterpretation to this declaration could lead to the termination of my training without any refund.Over the Yoga Practices during this training, if any injury occurs to my body, as a result of my mistake, I’ll be considered totally accountable for this and all kinds of expenses for its recovery will probably be taken care of by me.I understand that during the event Siddhi Yoga will be taking photos and post them on Facebook and other social media channels. If I do not like any of the photos I can always request to remove it. I agree I,D Number Upload Your Documents Draw your signature into the box below
