200ytt kkf 200ytt application 2018… · • lidell, lucy 2000 the sivananda companion to yoga....

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Kula Kamala Foundation 17 Basket Rd Reading PA 19606 484-509-5073 www.kulakamalafoundation.org 1

200YTT~YogaTeacherTrainingApplication

Carry your self into the space of healing & you will be serving all of humankind.

Sudha DearProspectiveStudent,

ThankyouforyourinterestinKulaKamalaFoundation’s200HoursYogaTeacherTraining(YTT)program.Thispacket contains the informationyouwillneed to registerandprepare for thisexcitingprofessionalCertificationprogram.Ifyouhaveanyquestionspleasedonothesitatetocontactusat484-509-5073.

MissionStatementKulaKamalaFoundationprovidesaffordable,high-qualitytrainingintheteachingandpracticeofyoga,acomplementofholistic therapiesand lifestyle;whichhasseveralbenefits includingstress reductionandoverallenhancedhealthandhappiness.

Ourmissionistoprovideaunique,comprehensiveandlife-affirmingYogaTeacherTrainingProgramopentoaspiringandexistingteachers,anddedicatedstudentsofyogawhowishtobringaholistichealingandwellness practice to themselves and to people in a variety of life situations.We strive to provide eachparticipantwitharobustfoundationtopracticeandteachtheprocessofyogaskillfully,withcompassion,safety,andintegrity.Theprogramincludestraininginself-study,darshan(wisdom/vision)ofYoga,asana,pranayama,meditation,lessonplanning,andallaspectsofclassroommanagement,aswellastrainingintheartofteaching,observationandadjustment,anatomy,andbasicyogatherapeutics.

ProgramDescriptionBecomeaNationallyCertifiedYogaInstructor, learntoapplythenaturaltherapeutictechniquesofyoga,or enhance your own wellness practice through this 200 hours Yoga Alliance Approved Yoga TeacherTrainingProgram.

The Kula Kamala Foundation Yoga Teacher Training program provides comprehensive training to teachYoga,itsmeditation,breathwork,andenergycomponents,asavehicleforholisticwellness.GraduatesofthisprogramwillbewellsuitedtoteachingYogaclasseswithafocusonhealthandhealingtothegeneralpublic.Duringthistraining,studentswillstudyyogaethics,meditation,pranayama(breathwork),historyandwisdom,theuseofsound(chanting)andvisualizationinhealingandholistictherapy,asana,anatomy,pathology, the importance of alignment, yoga psychology, energy, and basic Sanskrit (the language ofyoga).Participantswilllearnbasicprinciplesforeffectiveteaching,howtoworkfunctionallywithbeginnerand intermediate practitioners as well as individuals with common health concerns. Appropriate andusefuladjustments,howandwhentouseprops,howtocreateasafeenvironmentforyourstudentsandforyourself, sequencingofclasses, the importanceofyourpersonalpractice,andhowtomanifestyourinnerteacherarealsotopicsofstudy.

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CURRICULUM

YTT001IntrotoTeachingYoga:Perspectives,Practice&PurposefromaBeginnersMind YTT002Asana,Pranayama,Mudra,Mantra,andtheMind1 YTT003History&DarshanofYoga1 YTT004AnatomyofPosturalPractices YTT005Asana,Pranayama,Mudra,Mantra,andtheMind2 YTT006History&DarshanofYoga2,Ayurveda

UpcomingPrograms

• April25-May22,2018• August1-August28,2018• November1–November28,2018

TuitionTuitionduring2018is$1369.00Studentsalsopayaresidencefeeof$999.00whichcoverstheirroomandmeals.Totalprogramcost,notincludingbooksandsupplies,is$2,368.00AttirePracticalattireforpracticeofasanaandmeditationshouldbewornandshouldnotbetoobaggyastodragonthefloor.Allclothingshouldbemodestandwhiteincolor.Practiceisbarefooted.

InterviewPriortoregisteringstudentsarerequiredtocontactandinterviewwiththeprogramdirector,SudhaAllitt.

RequiredTextsTheKulaKamalaFoundationYogaTeacherTrainingWorkbookisprovidedaspartofyourtraining.Thefollowingtextsarenotincludedintuitionbutarenecessaryreadingandshouldbepurchasedforyourtraining.

• Farhi,Donna2005BringingYogatoLife:TheEverydayPracticeofEnlightenedLiving.HarperOneISBN0060750464(approx.12.99)

• Easwaran,Eknath2007TheBhagavadGita.NilgiriPressISBN1586380192(approx.$8)• Lidell,Lucy2000TheSivanandaCompaniontoYoga.FiresideISBN0684870002(approx.35.00).• SwamiVishnuDevananda2001MeditationandMantras:AnAuthoritativeText.Motilal

Banarsidass,(December1999)ISBN8120816153(approx.$17.00)• NischalaJoyDevi2007TheSecretPowerofYoga.ThreeRiversPressISBN0307339696

(approx.10.00)• FunctionalAnatomyofYoga:AGuideforPractitionersandTeachers.Publisher:LotusPublishing

ISBN-10:1905367465

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OtherExpensesBooks,matsandpropsarenotincluded.Wehaveashrammats&propsforyouruseduringtraining.

Pre-RequisitesforYogaTeacherTraining● Adeeploveandintenseinterestinyoga,andanopennesstoitsspiritualfacets● Awillingnesstolearnandpracticealot● AtleastoneyearofregularstudyofanystyleofHathayoga● UnderstanduponenrollingthatourapproachtoYogaisspirituallybased

RequirementsforGraduationInordertosuccessfullypassthiscourse,studentsmust:● Attend99%ofprogram.● Completeallrequiredreadingsandhomework,incl.bookreports&bibliographies.● Sequence&practiceteachseveralone-houryogaclassesduringtraining.● Participateinallaspectsoftraining.● Passapracticalexamination,allquizzesandafinalexam.

Allquizzesandexamsmustbetaken&passedandallhourscompletedinordertoreceiveaYogaAlliancerecognized200HourCertification.NOTE:YoucanapplyforyourYogaAllianceCertificationuponsuccessfulcompletionofthetrainingprogram.YogaAlliancechargesanapplicationfeeandaregistrationfee.YourregistrationmustberenewedyearlyandyouwillberequiredbyYogaAlliancetosubmitContinuingEducationCreditseverythree(3)yearstomaintainyourcertifiedstatus.TransferCreditsWhilewehonorandrespectalltraditionsofYoga,duetovastdiversityinapproachestoYoga,andit’sapplicationasatherapeuticmodality,theKulaKamalaFoundation200YTTProfessionalYogaTeacherTrainingCertificationisunabletoaccepttransfercreditsfromotherstudios,schoolsorashramsofYogaorYogaTherapy.

SpecialNeedsStudents with special needs must notify the course instructor at the beginning of the semester ofnecessarymodificationsthatareneeded.SuchmodificationsmustbedocumentedandapprovedbytheProgramDirector.Attendance&LatenessStudentsareexpectedtoattendallclassmeetingsandarriveinatimelymanner.Studentsareresponsibletomakeupanyworkmissedduringsemester.Therewillbeatutorfeeof$65perhourintheeventmake-uptimeisneededtofulfillcourserequirements.Incaseofbeinglate,pleasecomeintoclassquietly.

HolidaysKula Kamala Foundationprovides allowance for the followingholidays:NewYears Eve,NewYearsDay,Passover/Easter,MemorialDay,IndependenceDay,LaborDay,Thanksgiving,andChristmas.Whilewewillstillmeetoncertainoftheseholidays,studentswhocelebratethemareentitledtotakethemoffwithoutitcountingagainsttheirattendance.

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InclementWeatherIn the event of emergency closure due toweather or other circumstance, students will be notified byphone and by email when possible. Notices will also be posted on the ashram website(www.kulakamalafoundation.org),FacebookandTwitterpages.

ClassroomEtiquetteStudentsareexpectedto:

• FollowtheexampleoftheYama&Niyama• Abstain from smoking, alcohol, illegal or addiction based drug use while enrolled in ashram

programming,whileresidingattheashram,whileonashramproperty,orwhenrepresentingKulaKamalaatanyfunction.

• Beawareofanyinjuries,traumasorsensitivitiesyouarecarryingandhonorthemthroughoutyourpractice

• Bededicatedtotheprogram,givingtheirfullattentionandpracticingpresence• Arrivepromptlyandbereadytostartontime• Understandthatweareaspiritualashramandthereforewewillchantatvarioustimesthroughthe

dayandwillconductspecialrituals,suchasShivaratri,thesolsticeorothercelebrations• PracticeSelfstudyandbeawareofanydistractingpersonalenergythatyoumightbebringingtothe

class• Keepsideconversationsduringclasstoanutmostminimum• Askquestions• Committoconsciouslisteningandtheuseof“I”statements• Holdanysensitiveinformationdiscussedinclassasconfidential• Informtheinstructoraboutanyandallinjuriesandillnesses• Bringcoursematerials(texts,etc.)toclass• Completeallassignments,presentations,papers,homework, journalentries,powerpoints,quizzes

inatimelymanner• Leavecellphones inthecar–cellphonesandcomputersarenotpermitted intheclassroom–no

textingduringclass• Norecordingofclasssessionswithoutthepermissionoftheinstructor

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• Wear clothes appropriate to practice – shirts/sweaters/sweatshirts/shawls/etc. must be white incolorwithlittletonoadornment

• Abstainfromchewingguminclass• Cleantheirareasandremoveallgarbagefromtheirseatedarea• Helpcleanupafterclass• Abstainfromwearingperfumeandstrongfragrances• Beontimewhenreturningfrombreaks• Refrainfromviolence• Refrainfromcarryingweapons• Refrainfromusingnegative,harsh,orfowllanguage]• Bemindfulwhentalkingtoothersthattheymaynotwishtobecaptivetoyourpersonallifestory• Holdspaceforeachpersonintheprogram• Befriendly,considerateandkind

DiscontinuedProgramsIf the Foundation discontinues any portion of the program after a semester has begun, students willreceive a pro-rated refund of that currently active semester tuition. If the ashram changes its location,studentswillbenotifiedinwritingassoonaspossibleorreasonable.Ifthenewlocationcreatesahardshipforthestudent,thenthestudentcan,inwritingrequesttobereleasedfromtheprogramwithaproratedrefundoftuitionpaidduringandforthatcurrentlyactivesemesteronly.Awrittenrequestforaproratedone semester only refund must be made within 30 days from the date the program was relocated.Proratedrefundwillbepaidwithin30daysafterreceiptofthestudent’swrittenrequest.

ClassCancellationforLowEnrollmentThe Foundation may cancel a starting course if the number of students enrolling in that course isinsufficient.Insuchaninstance,thestudentisentitledtoafullrefundofallmoneypaidforthatparticularcourse.(Seebelowfortherefundpolicyintheeventastudentwithdrawsfromclass.)

GradingGradingSystemisCompleted/NotCompleted-Pleasenotestudentswhohavenotcompletedacoursecannotmoveforwardintheprogramuntilallassignments,tests,etc.areacceptedascomplete.Assignmentswillnotbeacceptedmorethan10daysafterthecourseenddate.

StudentProgressStudents are expected to attend all classes, complete all work and arrive and leave as the course isscheduled.Excessiveabsence,tardiness,failureorrefusaltodotheworkofassociatedwithacourse,andviolatingtherulesofconductoftheashram,aregroundsfordismissalfromtheprogramwithoutarefund.Allcoursesarecompleted/notcompleted.Studentsarenotpermittedtoregisterforclassesuntilallpreviouscourseworkissatisfactorilycomplete.Studentscanalwaysaskforacounselsessionwithinstructortoclarifywhatisoutstandingforthecourse.

AcademicHonesty

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WestrivetobeamorallygroundedcommunitywithethicalguidelinesfoundintheYamaandtheNiyama(seestudent’shandbook).AcademicintegrityisessentialtopursuitoftruthandknowledgeandgivestheKula Kamala Foundation community credibility. The principles of academic integrity demand thecommitmentofallpersonsatKulaKamalaAshram.ActionsthatdishonorthecodesetbyPatanjali’sYamaandNiyamamaybereasontoremoveastudentfromtheprogramwithoutrefund.Dishonesty in any work is regarded as a serious offense and may result in failure in the course anddismissalfromtheprogram.Academicdishonestyisanyactofcheating,fabrication,plagiarism,abuseofresources,forgeryofacademicdocuments,dissimulation,orsabotage,andanyactofaidingandabettingacademicdishonesty.KulaKamalaAshramassumestheacademicintegrityofitsstudents.Incaseswhereacademicintegrityisinquestion,thefollowingdefinitionsandpolicieswillapply: 1. Dishonesty - Examples of dishonesty are copying someone else’s homework, copying someoneelse’s test, copying a homework partners report and submitting it as your own, using an unauthorized“cheatsheet”,inventingofanyinformation,citation,source,ordatainanyacademicexercise. 2.Plagiarismistheuseofthewordsandideasofanotherasone’sown.Plagiarismincludesfailingtogiveapropercitationforusingworkfromanyotherpersonorsource.Modificationsandrephrasingsdonotreducetherequirementforgivingacitation.Thisalsoappliestoinformationobtainedelectronically,suchasfromtheInternet.Studentsshouldalwaysbemindfulofthe intellectualrightsandcopyrightsofothers. 3.FabricationofInformation,includingfalseexcusesforbehaviorsuchasmissingclasses,postponingtests,handingwork inpast theduedate, turning inapaper foroneclass thatwasoriginallywrittenbyanotherstudent,inanotherstudentshandwriting,orforanotherclasswhenoriginalworkisrequested. 4.Abuseofresourcesisthedamagingofanyresourcematerialorinappropriatelylimitingaccesstoresourcematerialthatisnecessaryforacademicwork.Abuseincludeshidingashrammaterials,removingashram property from the premises without permission, and failure to return such materials whenrequestedbytheashram. 5. Forgery of academic documents is the unauthorized changing or construction of any academicdocument includingtranscripts,gradesheets,gradesonpapers,andforgingsignatures.Forgery includesthe omission or falsification of any requested information on applications or any other documentcompletedanduponwhichadmissiontotheprogramrelied. 6.Aiding&abettingacademicdishonestyisknowinglyfacilitatinganyactdefinedabove.ProceduresforDealingwithAcademicDishonestyAfacultymemberwhoperceivesorisinformedofacademicdishonestywillfirstinformthestudentoftheallegation. If necessary, the faculty member will then report the action with evidence to the programdirector.Theprogramdirectorwillthenmeetwiththestudentandbaseduponthestudent’sexplanation,determine iftheactionwarrantsremovalfromtheprogram.Therewillbenorefundswhenastudent isremovedfromtheprogramforunethicalbehavior.Thestudentwillbeinformedinwritingbytheprogramdirector of any decision in their case within 30 days when possible from the date the complaint wasinstituted.

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StudentComplaintandGrievanceProcedureStudentsmaybringtheircomplaintstotheDirectoroftheAshramtoattemptresolution.Ifthesituationcannot be resolved the studentmaybring their complaint to an outside source. All student complaintsmustbe filedwithinoneyearaftera studentdiscontinues theprogram.All complaints, resolutionsandevidenceassociatedwiththecomplaintwillbedocumentedinthestudentsfile.Thefilingofacomplaintwillnoteffectthestudent’sacademicstandinginanyway.CancellationofEnrollmentContractYoumaycancelyourenrollmentcontract,inwritingonly,atanytimepriorto14daysbeforethestart

dateoftheprogram.Suchatimelycancellationwillentitlethestudenttoarefundofanytuitionpaid

lessa$250administrativefee.Theapplicationfeeisnon-refundableandisnotcountedtowardtuition.Ineventofdisputeovertimelynotice,theburdenrestswiththestudenttoprovetheysubmittedthe

properrequestinatimelymanner.ThereareNOrefundsforanytuitionpaidifthestudentwithdraws

duringthefourteendayspriortothestartdateofthecourse,oratanytimeoncethecoursehasbegun.

UnfairBusinessPracticesKula Kamala Foundation will not sell or transfer this contract or promissory note without the signedwrittenconsentofthestudentorhis/herparentorguardian.

PlacementAssistanceKula Kamala Foundation does not provide employment placement assistance at this time. However, asopportunitiescomeup,andwhenitisappropriate,studentswillbeofferedopportunitiesforserviceandemployment.

StatementofNon-DiscriminationKula Kamala Foundation, Kula Kamala Ashram, kula-kamala-yoga, LLC, its teachers and staff, do notdiscriminate based on any criteria, including but not limited to race, sex, religious tradition, ethnicity,gender,sexualorientation,disability,oreconomicstatus.

CodeofConduct:Teachers,Students,Faculty,andAdministrationFaculty,Administrators,Students,YogaTherapists,andTeachersofYogashouldstrivetowardthehighestethicalbehaviorassetforthintheYamaandNiyamaasespousedinPatanjali'sYogaSutra.Inthiswaytheiractionswillsupporttheclients’healingandtheirownpersonalsenseofempowerment.AsYogaTherapists,weareexamplestoourclients.Weshouldstrivetoexemplifythechangewewishtoseeintheworld.Wecanbestachievethisgoalbyconductingourselvesinawaythatfosterspeace,harmonyandintegrity.AssuchweshouldstrivetowardthehighestethicalbehaviorassetforthintheYamaandNiyamaasespousedinPatanjali'sYogaSutra.Inthisway,theiractionswillsupporttheclients’healingandtheirownpersonalsenseofempowerment.AsYogaTherapists,weareexamplestoourclients.Weshouldstrivetoexemplifythechangewewishtoseeintheworld.Wecanbestachievethisgoalbyconductingourselvesinawaythatfosterspeace,harmonyandintegrity.

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Allmembersofourstudysanghashouldholdthedeepestintentionto:1.Conductallinteractionswithintegrityandinaprofessionalandconscientiousmanner.2.Honestlyrepresenttheirskillsandscopeofpracticeandifnecessary,referstudentstoseekalternativeinstruction,advice,treatment,ordirectionwhensameisoutofthepurviewofmyskills.3.Provideasafe,cleanandholisticenvironmentwhereallstudentsregardlessofage,physicallimitations,race,creed,gender,ethnicity,religionaffiliation,orsexualorientationfeelwelcome.4.Respecttheprivacyofallstudentsandtreattheminadignifiedmanneratalltimes.5.Maintainsafeboundaries-donotsexually,verballyorphysicallyharassanystudent,teacherorclient.6.Followalllocalgovernmentandnationallawspertainingtothebusinessofyoga.7.Honorclientprivacybynotsharingclientinformationwiththirdpartiesforanyreasonnotassociatedwiththeregularoperationofouryogaashramortomeettherequirementsoflegalauthoritieswithouttheclient’spermission.8.AbidebyyogicethicsassetforthintheYamasandNiyamas,asfollows:YAMATheYamaarebehavioralrestraints.Theyguideourinteractionswithhumans,non-humansandourinteractionswiththeworldweinhabit.Ahimsa. Avoid violence or unkindness in word, deed and thought, and avoid activities that stunt therealizationofharmony.Satya isbeinghonest inword,deedand thought.Manifestinganauthentic representationofourselvesand others by not concealing truth, and by not downplaying or exaggerating our abilities andaccomplishments.Asteya. In its simplest form itmeansdonot stealor takewhat isnotyoursand includesphysical itemssuchasmoneyanditemsaswellasideas,identities,andexperience.Donotactoutofjealousy.Brahmacharya is behaving in an ethical way that enhances one’s own experience of the Divine whilehonotring the experience of others also. It encompasses unconditional love, true joy for others, andtreatingallwithintegrity.Itincludespracticingmoderationinallbehaviors.Aparigrahameansnon-grasping.Livesimply.Donotaccumulatethingsneedlessly.Donothoardanddonot give material objects, status or greed priority over that which enhanced truth and harmony.

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NIYAMATheNiyamaguideourinnerrelationshipwithself,andarepracticesweintendadherenceto.SaucaisPurityorCleanliness.Itenhancesbalanceandsharpensclarity.Santosa is Contentment. Contentment with yourself, with others and with the situation of your life,Santosainvolvessurrenderingtoyourfaithandtrulybelievingthattheprocessofyogawillbringyoufrompersonalsufferingtowardgreathappiness.Tapasisthefireofself-discipline.Thinkofitasthewillpowertofollowthrough.Svadhyaya is the Study of the Self. We self-inquire, we practice mindfulness, it is also the study ofscripturesandchanting.Svadhyayaopensustoourowndivinenature.IshvaraPranidhanaisdevotionorsurrendertotheDivine.Itisaboutbeingopen-heartedtothepossibilities.HOWTOREGISTER.ToregisterfortheKulaKamalaFoundation200HoursYogaTeacherTraining(YTT)programsubmityour

• Completedapplication• Signedwaivers&agreements• Attachtheitemsontheattachedchecklist• $500depositorotherpaymentincludinginfull• Besuretoincludeoneletterofreference

Sendyourapplicationpacketto:

KulaKamalaFoundation17BasketRd

ReadingPA19606Again,thankyouforyourinterestinKulaKamalaFoundation’s200HoursYogaTeacherTraining(YTT)program.Ifafterreadingthispacketyouhaveotherquestions,pleasecalltheashramat484.509.5073.Youcanalsovisitwww.kulakamalafoundation.orgformoreinformation.Welookforwardtoworkingwithyouasyouembarkonthisexciting,life-changingjourney!MayyoubePeaceful.MayyoubeHappy.MayyourealizeOne-ness.Jai.Peace.OM.

Sudha SudhaAllitt,PhD,E-RYT500,C-IAYTExecutiveDirector

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CERTIFICATIONSOFFEREDBYKULAKAMALAFOUNDATION

870hoursProfessionalYogaTherapyCertification.AprogramstructuredtomeetandexceedtheInternationalAssociationofYogaTherapists(IAYT)requirementsforYogaTherapyeducation.

300hoursAdvancedYogaTeacherYogaTherapyLevel1CertificationmeetsandexceedstheYogaAlliance

requirementsfor300hourAdvancedYogaTeacherTrainingCertifications.

200hoursYogaTeacherCertificationexceedstheYogaAlliancerequirementsfor200hourYogaTeacherTrainingCertifications.

KulaKamalaFoundationisAregistered501(c)3non-profitorganization.

Our870hoursProfessionalYogaTherapyCertificationisaccreditedbytheInternationalAssociationofYogaTherapists.

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UPCOMINGPROGRAMS

ONE-MONTHLONGRESIDENTIAL

• April25–May22,2018

• August1-August28,2018

• November1–November28,2018

99%attendanceisrequired

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APPLICATION&REQUIREDDOCUMENTSToapplyforadmissionintotheKulaKamalaFoundation200YTTcertificationprogramcompletetheenclosedapplication,enrollmentagreement,promissorynote,refundpolicyacknowledgement,healthandphotographywaiversandreturnthemtogetherwith

1. copyofhighschooldiplomaorGEDifavailable

2. copyofprofessionalresumeorCV

3. 1letterofreference

4. $500.00deposit,or

5. tuitionpaidinfull

AMOUNTenclosed$

Dropoffattheashramormailallapplicationmaterialsto:KulaKamalaFoundation17BasketRdReadingPA19606Again,thankyouforyourinterestinKulaKamalaFoundation230hoursYogaTeacherTraining.Ifafterreadingthispacketyouhaveotherquestions,pleasecallusat484-509-5073.Youcanalsovisitwww.kulakamalafoundation.orgformoreinformationandtomaketuitionpayments.Welookforwardtoguidingyouonthisexciting,life-changingjourney!YourYoga.YourJourney.OurOneness.Pleasenote:Thefollowingmustbeprovidedbyallstudentsapplyingtotheprogram.PersonalInformationName Date Address: City State Zip HomePhone Work/CellPhone Email Recommendedby

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Iamapplyingforenrollmentinthefollowingprogram:

April25–May22,2018

August1-August28,2018

November1-November28,2018HowdidyoulearnaboutKulaKamalaFoundationprofessionalprograms?(pleasecheckallthatapply)

IpracticewithKulaKamalaFoundationInternetSearchMyYogateacherrecommendedit(pleaselistteacher’sname)

Advertisement(pleaselistsource)

Friend

Other 1.HowlonghaveyoubeenpracticingYoga? 2.Fromwhichschoolsareyoucertifiedandatwhatlevel(school/level/year)? 3.HowmanydaysperweektoyoupracticeYoga? 4.WhatstyleofYogadoyouusuallypractice?

5.Doyouhaveahomepractice? Yes No6.Whatisyourfavoritepostureandwhy? 7.Whatisyourleastfavoritepostureandwhy? 8.WhohavebeenyourprimaryYogateachers?

9.Doyoupracticemeditation? Yes No

pranayama? Yes No

kriya? Yes NoIfyesforkriya,whichones:

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10.Listanyadvancedtrainingorspecialtyworkshopsyouhaveattendedinthelastthreeyears.

11.AreyoucurrentlyteachingYoga? Yes No

DoyouhaveatleastoneyearoverallexperienceteachingYoga? Yes NoIfyes,forhowmanyyearshaveyoubeenteaching?Wherehaveyoutaughtoverthepastyearandwhatstyle/approachhaveyoubeenteaching? 12.Whyareyouinterestedinthis300TYT/870PYTprogram? 13.Whatareyourexpectationsforthistraining?Whatdoyouhopetoachieveatthecompletionoftheprogram? 14.Whatisyourhighesteducationaldegreeawarded,fromwhatschoolandinwhatsubject? 15.DoyouintendtomarryyourYogaTherapytrainingintoyourcurrentworkorservice?Ifsohow? 16.Notincludingphysicalposture/asanapractice,whattechniqueofYogamostcallstoyouandwhy?

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17.Areyouwillingtoattendyourtraininghoursinsobriety,agreeingtoavoidcigarettes,alcoholanddrugs(otherthanvalidprescriptions)ontrainingdaysandatanytimeyouareworkingor

studyinginregardtoyourprogram? Yes NoMedicalHistoryPleasecompletethemedicalhistorysectionbelowsothatwecanbesuretorespondtoanyneeds/emergenciesshouldtheyoccurduringyourtraining.Pleasenotethatnoneofyourresponseswillexcludeyoufrombeingacceptedintotheprogram.1.Howwouldyouevaluateyourcurrenthealth?

Excellent Good Fair2.Listaccuratelythechallengesyoumayfaceintheprogramastheresultofhealthconcerns(brieflydescribe) 3.Doyousufferfromanyoftheconditionsbelow?

Epilepsy HeartDiseasecircle:heartattack,uncontrolledhighbloodpressure

Seizures Addictiontoalcoholordrugs

Diabetes Digestivedisorder(IBS,gastritis,glutenallergy,etc)

Carpaltunnel Lymesdiseaseorotherimmuneissue

Shoulderinjury Jointreplacement-whichone(s)&when

Cancer Other

Depression No,Idonotsufferfromtheaboveconditionstomyknowledge4.Areyoupregnantnoworplantobecomepregnantduringthecourseofthetraining?

Yes No5.Areyoucurrentlyorduringthelasttwo(2)yearshaveyoubeenunderthecareofamedicaldoctor?

Yes No6.Areyoucurrentlyorduringthelasttwo(2)yearshaveyoubeenunderthecareofamentalhealthcareprofessional?

Yes No

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7.Doyoucurrentlyhaveorduringthelasttwo(2)yearshaveyouexperiencedanymentalhealthcareconcerns?

Yes NoIfyes,pleaseexplain: 8.Pleaselistmedicationsyouaretakingprescribedbyyourphysicianormentalhealthcareprofessional: 9.Doyouhavehealthinsurance?(ifyespleaseattachacopyofyourinsurancecard).

Yes No10. Do you have professional liability insurance? (if yes please attach a copy of yourinsurance).

Yes No

EMERGENCYCONTACTNAME: PHONE EMAIL: ADDRESS: RELATIONSHIP:

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PHOTOGRAPHYWAIVERI UNDERSTAND THAT MY PICTURE MAY BE TAKEN DURING THIS TRAINING PROGRAM AND IHEREBYGIVEMYPERMISSION,WITHOUTEXPECTATIONOFCOMPENSATION,FORANYANDALLIMAGES TAKENOFMEDURING TRAINING TO BEUSED BY KULA KAMALA FOUNDATION, KULAKAMALAFOUNDATION,KULAKAMALAASHRAM,ORBYBROOKDALECOMMUNITYCOLLEGEFORPROMOTIONALANDFORINFORMATIONALPURPOSES. Signature Date

DHARMA,KARMA&VARNAAGREEMENTIAGREETHATMYRESIDENCYATKULAKAMALAASHRAMWILLBEGUIDEDBYTHEPRINCIPLESOFPATANJALI’SYAMAANDNIYAMAINTHATIWILLPRACTICETOTHEBESTOFMYABILITY:NON-HARMING,TRUTHFULNESS,NON-STEALING,SELF-RESTRAINT/MODERATION,NON-GRASPING,CLEANLINESS,CONTENTMENT,SELF-STUDY,DISCIPLINE,ANDANHONORINGOFTHESACRED. Signature Date

RESIDENTIALAGREEMENTIUNDERSTANDTHATMYRESIDENCYATKULAKAMALAASHRAMISFORTHEPURPOSEOFSTUDYANDSERVICE.IAGREETOUPHOLDTHEMISSIONANDCOMMUNITYATTHEASHRAMANDIWILLNOTBRINGALCOHOL,CIGARETTES,DRUGS(UNLESSDOCTORPRESCRIBED),GUNS,MEATORANYOTHEROBJECTTHATMIGHTREPRESENTHARMORCAUSEDISTRACTIONTOTHESTUDYOFYOGA.IUNDERSTANDPOSSESSIONOFANYOFTHEABOVEWHILEINRESIDENCEISMEANSFORREMOVALFROMTHEPROGRAMWITHNOREFUND. Signature DateSOBRIETYAGREEMENTIAGREETHATDURINGMYRESIDENCYATKULAKAMALAASHRAMIWILLABIDEINASTATEOFSOBRIETY. Signature Date

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LEGALWAIVER

I,____________________________understandandagreetothefollowing1. Iamatleast18yearsofage2. WhenIparticipateintraditionalyogaclassesoraerialyogaclasses,Iwillreceive

informationandinstructionaboutyoga,health,andtheuniqueaspectstoeachpractice.IrecognizethatallformsofYogarequiresomephysicalexertionthatmaybestrenuousandmaycausephysicalinjury,emotionalupset,crying,andevenriskofdeath.

3. Injuriescanincludebutarenotlimitedtobruising,strained/pulledmuscles,soreness,musclespasms,dizzinessandnausea.

4. IunderstandthatmanyofthetraditionalYoga,specialtytrainingsandtheAerialYogaclassesrequirephysicalexertionandsomerequirethestudenttobeinanupsidedownpositionwithrelationshipthefloor(inversion).Itismyresponsibilitytoconsultwithaphysicianpriortoparticipatinginanyprogramincludingphysicalactivity,includingprogramsatKulaKamalaFoundationandAerialYoga.IrepresentandwarrantthatIamphysicallyfitandIhavenomedicalconditionthatwouldpreventmyfullparticipationinthetraditionalYoga,specialtyworkshopsandtrainingsandaerialYogaClasses/WorkshopsheldatKulaKamalaFoundation.IfIdohavesuchacondition,Ihavecompletelyinformedtheinstructorandaskedforanalternatepracticeforthepracticesthatarecontraindicated.

5. Somemedicalconditions,whichIdonothave,butIunderstandwouldpreventmefromparticipatingincertaintraditionalYogaandAerialYoga,include,butarenotlimitedto:Pregnancy,highorlowbloodpressure,glaucoma,useofalcoholorimpairingdrugsorsubstances,andreceivingbotoxinjectionswithin24hoursofclass.IalsounderstandthatcertainmedicalconditionsarecontraindicatedwiththetraditionalYogapracticesofasana,pranayama,relaxationandmeditationtechniques.Ihavenotifiedmyinstructorofallpertinentmedicalconditions,includinganyconditionsthatmightpreventmefromparticipatinginclasses.Iunderstanditismyresponsibilitytoinformtheinstructorsotherwisetheycannotgivemeappropriatepracticevariations.IunderstandIamrequiredtohaveadoctornotetoexcusemecompletelyfromaparticularpracticeortechnique.

6. Iagreetoassumefullresponsibilityforanyrisks,injuries,ordamages,knownorunknown,whichImightincurasaresultofparticipatinginanyandallclassesandworkshopsatKulaKamalaFoundationandYogaAshram,includingtraditionalYogapracticesandAerialYoga,includinganyofmyownpre-existingornewlyacquiredinjuries,ordamagesthatmayresultfromthenegligenceofthefounders,theinstructors,landlords,installers,manufacturers,and/orotherstudentsofKulaKamalaFoundationandYogaAshramandkula-kamala-yogaLLC.

7. Bysigningbelow,IacknowledgethatIunderstandthatyoga,meditation,relaxation,andeveryother activity Imay takepart inwhile stayingor visitingKulaKamala Foundationincludesphysicalmovementsaswellasanopportunityforrelaxation,stressre-educationandreliefofmusculartension.Asisthecasewithanyphysicalactivity,theriskofinjury,even serious or disabling, is always present and cannot be entirely eliminated. If Iexperienceanypainordiscomfort,Iwilllistentomybody,adjustthepostureandaskforsupportfromtheteacher.Iwillcontinuetobreathesmoothly.Iacceptfullresponsibilityfor my decision to practice Yoga and any other activity offered or presented at KulaKamalaFoundation.

INITIAL


8. Yogaisnotasubstituteformedicalattention,examination,diagnosisortreatment.Yogaisnotrecommendedandisnotsafeundercertainmedicalconditions.Bysigningbelow,IaffirmthatIaloneamresponsibletodecidewhethertopracticeyoga.Bysigningbelow,Iherebyagree to irrevocably releaseandwaiveany claims that I havenowormayhavehereafteratanypoint in timewithregardtoanycircumstancewhatsoeveragainstKulaKamala Foundation, Kula Kamala Ashram, kula-kamala-yoga and its founders, directors,officers,administrators,employees,teachers,whetherfullorparttimeorvisiting,faculty,staff, personnel, and volunteers. By signing below, I also release andwaive any and allclaimsthatmayariseinconnectionwithsleeping,eating/drinking,practicing,studying,orabiding at the ashram during retreat weekends, meals, classes, volunteerism, trainingprogramsandatanytimeandforanyreasonwhatsoever.

9. I understand this waiver applies to any and all visits to the ashram and any eventsattendedelsewherethatareofferedbyKulaKamalaFoundation,whichoccurnow,inthepastorinthefuture.

10. ST NAME: ADDRESS: EMAIL:

Date: Signature:

INITIAL


Ihavereceived,readandunderstandthefollowingREFUNDPOLICY:REFUNDPOLICY

1. Theschoolwillrefundthestudent’s$500deposit iftheapplicant isnotacceptedintotheprogramorifthesemestertowhichthedepositisappliediscanceled.

2. Theschoolwillrefundastudent’stuitionpriortofourteendaysbeforethestartdateofacourselessa$250administrativefee.

3. ThereareNOrefundsforanytuitionpaidifthestudentwithdrawsduringthefourteendayspriortothestartdateofthecourse,oratanytimeoncethecoursehasbegun.

4. Incasesofmedicalemergency,whenpresentedwithanoriginalsignaturedoctornoteonthe doctor’s letterhead, a credit may be applied to the student’s account to be usedtowardafuturesemester.Thestudentisresponsibletonotifytheprogramdirectorofanymedicalemergenciesorissueswithinthreedaysoftheirhappeningortheywillforfeitanypossiblecredit.Applyingacredit toastudentsaccountmaycarryanadministrativefee,nottoexceed$250.

5. Astudentmayberemovedfromtheprogramortherosterofaparticularcoursewithoutanyrefundforthefollowingreasons.Theremaybeadditionalreasonsforremovalfromtheprogramnotlistedhere:

a. studentdoesnotfulfillanytuitionpaymentplanintheagreeduponmannerb. studentmissesmorethan10%ofanyonescheduledcourseinasemesterc. studentdoesnotcompletetherequiredcoursesforCertificationwithinathree

yearperiodoftimed. student refuses tocomplete requiredclass/homeworkasdescribed in student

manuale. studentcommitsplagiarismasdefinedinstudentmanualf. studentcommitsanactofacademicdishonestyasdefinedinstudentmanualg. studentcommitsanactofviolenceorintrusionagainstanotherstudent,against

afacultymember,oragainstschoolpropertyh. studentattendsclasseswhileundertheinfluenceofalcoholorillegaldrugsi. studentishabituallydisruptiveinclassj. studentcommitsormakesstatementsthatareobscenek. student ishabitually intolerantandcriticalof theviewsandpracticesofother

students Printednameofstudent Signatureofstudent ______________________________Date

200ytt kkf 200ytt application 2018… · • lidell, lucy 2000 the sivananda companion to yoga....

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