TantratoLove™ Immersion + Educator Application

Thank you for taking the time to fill out this application. As you fill it out, we want to remind you that no experience is necessary. Please keep your answers as concise as possible. If you are attending as a couple, each partner should fill out a separate application. Please do not send a joint application. Thank you.

You will receive an e mail to confirm receipt of your application and another e mail to confirm acceptance into the program. We may call if we have questions. Applications are accepted on a first come first serve basis. Once accepted, payment for the program is suggested to hold your spot.

Name *
Name
Phone *
Phone
http://
Address
Address
Do you feel you will be able to commit to attend all the scheduled classes? *
If you answered "Yes", which immersion will you attend? *
Are you planning to get certified? *
If yes, will you want Yoga Alliance CEUs? *
First and Last Name Electronic Signature: *
First and Last Name Electronic Signature:
Today's Date: *
Today's Date:
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *