CYTT Pregnancy & Postnatal Training 1 Personal Details2 Your Yoga Background3 Your Health4 Our Working Agreement Personal DetailsName* First Last Date Today Date Format: MM slash DD slash YYYY Email* Phone*Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth* Date Format: MM slash DD slash YYYY Current Job*Do you have children? If so, what ages?Start date of the course you wish to apply for? Date Format: MM slash DD slash YYYY Your Yoga BackgroundHow long have you been practising yoga?*When did you graduate as a Yoga Teacher?*How many hours of yoga have you taught since you graduated?*Which school or studio did you qualify as a teacher with?*Why do you want to take this teacher training course?Why do you want to teach pregnancy &/or postnatal yoga?*What yoga classes do you attend for you?*Do you have a home-practise?YesNoHow often do you practise yoga (home & studio)?*Do you practice pranayama?*YesNoDo you meditate?*YesNo Your HealthDo you have any special requirements with reading or writing?YesNoDo you have any of the following: Arthritis Back, neck spinal problems Carpal tunnel Chest pains Current/recent pregnancy Depression Dizziness/Fainting Ear or eye disorders Epilepsy Fibromyalgia, ME or CFS Heart problems High or low blood pressure Joint problems ME Recent surgery Respiratory problems None of the above If you answered 'yes' to any of the above, please give details belowDo you have any other health conditions?*Please answer yes or no, and if yes give detailsEmergency Contact*Please provide the following information about your emergency contact. Name, phone number and your relationship to them. Our Working AgreementI understand and agree that all administration fees & further fees are non-refundable.* I understandI agree to attend all course dates and submit all coursework in a timely manner. I understand that late submissions and missed days will usually incur additional fees* I agreeI agree to conduct myself professionally at all times and formally abide to the Yoga Alliance Professionals ethical guidelines. I confirm I will uphold the integrity of CYTT Ltd & Yoga Alliance Professionals in my subsequent work as a qualified teacher.* I agreeI confirm that I have access to a computer & printer & that I can send & receive emails, use a web browser to access the internet & create professional PDFs to send documents.* I confirm
