Application form Level 2 Kundalini Yoga teacher training

First Name

Last Name

Spiritual Name

Date of birth

Postal Code

Street + street number

City + Country

E-mail

Again your e-mail for verification

Mobile / Telephone

For which module are you registering? For which module are you registering? Vitality & Stress (19-26 April 2024) Conscious Communication (18-25 October 2024) Authentic Relationships (04-10 April 2025)

How did you find out about this training? How did you find out about this training? Flyer Website / Google Facebook Social media Through my yoga teacher

Do you have any health issues that could limit you in doing yoga?

If you have, did you seek medical help and what was the outcome?

Do you have any special requests regarding food, or any allergies?

Do you have any questions or anything you would like to share with us?

I have read and agree to the information (privacy statement, terms & condition) as stated on this website - PeaceWithin - and the use of my information for the purpose of this training. I have read and agree to the information (privacy statement, terms & condition) as stated on this website - PeaceWithin - and the use of my information for the purpose of this training. I Agree

PeaceWithin & Divine Human can email me about other Kundalini Yoga activities. PeaceWithin & Divine Human can email me about other Kundalini Yoga activities. I Agree