Name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Phone number

Country

(###)

###

####

Are you open to co-ed housing? *

Yes

No

Do you give Kula consent to be filmed/photographed during your course? Please note that video/photo may be used in Kula educational/promotional material. *

Yes

No

If Kula Collective posts photos or videos from your training/retreat to Instagram, would you like to be tagged? *

Yes

No

Do you have dietary restrictions? *

Vegan

Gluten Free

Vegetarian

Allergies

Are you pregnant? *

Yes

No

Are you currently receiving therapy or attending any kind of support group? *

Yes

No

Are you currently taking any medications? *

Yes

No

Do you feel mentally and emotionally stable to participate in a 25-30 day intensive training?

Yes

No

I understand that this program is designed to deepen my yoga practice and it is in no way a detox program or therapeutic mental health retreat. I agree that I am mentally, physically, and emotionally fit to participate in this yoga teacher training course.

Yes