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about LISPY
teacher training
LISPY 200-hr yoga certification
LISPY 1000-hour psychotherapeutic yoga certification
schedule
contact us
Home
about LISPY
teacher training
LISPY 200-hr yoga certification
LISPY 1000-hour psychotherapeutic yoga certification
schedule
contact us
Become a LISPY trained Psychotherapeutic Yoga Therapist
LISPY Application
Please complete the following application.
Please note that the application will not be accepted without submission of the application fee.
Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Date of birth
Professional background
What is your educational background?
*
Institutions, Degrees, Graduation Years
Please describe professional background and current employment?
*
Are you a licensed mental health professional?
*
Yes
No
If yes, please indicate licensure status and professional experience:
Are you a health care provider?
*
Yes
No
If yes, please indicate professional licenses and experience.
Yoga background
Please list all of your yoga educational background:
*
Yoga Alliance designations
*
none
RYT-200
RYT-500
Other
Please describe your yoga teaching style and number of years teaching, if applicable:
Please describe your personal yoga practice and how long you have been practicing:
*
Personal Info
Please describe your mental health regimens
(psychotherapy, yoga, diet, exercise, etc)
Please describe your personal goals for your life:
*
(diet, lifestyle, career)
What is your biggest obstacle to achieving these goals?
*
What else would you like for us to know about you?
How did you hear about LISPY?
*
(referred by, web search, advertisement, etc.)
Payment Info
Preferred payment terms
*
If accepted, please note that the training fee of $3500 is due 60 days prior to the start date of your training. (note: only the app fee is due at this time). Please note all application approvals must submit a non-refundable $400 deposit/first payment to guarantee space in the training. (This is not due at this time)
I understand that the $3,500 training fee is due 60 days prior to the training start date.
LISPY application fee
*
The completed application form and fee are required before your application will be reviewed. You will be directed to Paypal to complete your application fee.
Price:
$50.00
Name
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