Name *

First Name

Last Name

Phone *

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

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Certification Policy

I understand that if I fulfill all the requirements of this Eclipse Power Yoga teacher training, including all contact and independent study hours, and passing all homework and final exams, I will receive a certificate of completion as evidence that I have completed the program. Paying for the program and completing the hours alone does not mean I will pass the program. I understand that Eclipse Power Yoga reserves the right to ask me to leave the program if I am found plagiarizing, or if my behavior is inappropriate or unethical. Under such circumstances, I understand I will not be refunded my tuition. I also understand the completion and receiving of certification does not guarantee employment or a teaching position at Eclipse Power Yoga.

Agree

Ongoing Support Outside of Training *

Part of this training content includes inner work that may bring up past traumas. Checking this box indicates that you have a support structure in place. A professional referral list can be provided if needed.

Agree

Assumption of Risk & Health Warranty *

Yoga is an individual experience and I understand that I should progress at my own pace while participating in the physically active portions of any Eclipse Power Yoga Teacher Training Program. If at any point I feel injury, overexertion, or fatigue, I will respect my own body's limitations and I will rest before continuing Yoga or any other exercise. I will take care of my body and do my best to remain healthy. I acknowledge that participation in any Eclipse Power Yoga Teacher Training Program naturally involves the possibility and risk of injury to me. I further acknowledge that specific risks include injuries resulting from over-exertion, physical adjustment, improper or negligent use of equipment, failure to follow trainer instructions, or injuries resulting from participation in an inappropriate level of physical exercise. As such, I understand and voluntarily accept these risks. I represent that I am in good health, at least 18 years of age, have the necessary current medical approval to engage in physical exercise, yoga instructional classes and teacher training, and have no disability, impairment, injury, disease or ailment which would cause risk of injury or adverse health consequences as a result of engaging in physical exercise and yoga instructional classes and teacher training. I acknowledge that to the facility where I am taking my training and Eclipse Power Yoga are relying on this representation and I understand that neither to the facility where I am taking my training nor Eclipse Power Yoga will investigate or certify my health or my fitness to participate in physical exercise and yoga instructional classes and teacher training.

Agree

Release & Waiver of Liability

I agree to take classes/workshops/virtual classes at Eclipse Power Yoga and I accept full responsibility for performing only those movements and activities that support and do not jeopardize my health and well-being by participating in these classes. I understand that fitness classes and workshops carry a risk of injury as does all physical activity and sign this waiver of liability in agreement that I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in any programs. In further consideration of being permitted to participate in the fitness Class/Workshop/or other events, I knowingly, voluntarily and expressly waive any claim I may have for Eclipse Power Yoga and its affiliated instructors for any injury or damages that I may sustain as a result of participating in the program. I understand that upon entering any public building, there are risks, and I will not hold Eclipse Power Yoga liable for any harm or injury obtained to me in or around the perimeters by any type of scenario within or outside the class I am attending. I understand that Eclipse Power Yoga is a public facility in which airborne viruses may be present. I agree that I will not hold Eclipse Power Yoga liable for any illness which may be contracted by visiting a public facility and being in proximity with others, and for any allergic reactions to airborne remnants of cleaner within the studio. I understand that both Eclipse Power Yoga and its affiliated instructors are not diagnosing, prescribing or treating. I agree to consult a doctor or medical professional about a state of pathology, dysfunction, or pain, and to advise my instructors about such concerns. I understand that prior to beginning any exercise routine; I should consult with a medical professional. I also understand I am responsible for the security of my belongings and should keep any valuables with me at all times or should not bring them into the studio. I, my heirs and/or legal representatives, forever release, waive and discharge eclipse power yoga, and its representatives or agents, from any and all claims whatsoever, whether in tort, theft, negligence, intentional, reckless and/or any other claim whether known or unknown.

Agree

Cancellation Policy

30 days prior to teacher training: Full refund less $500 non-refundable, non-transferable deposit 14-29 days prior to teacher training: 50% refund less $500 non-refundable, non-transferable deposit Less than 14 days prior to training: No refund. If paid in full, a credit in the amount of your tuition, not including the $500 non-refundable, non-transferable deposit, will be applied to your account.

Agree