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Welcome to Heart Center Therapy

Please don't hesitate to inquire with us if you have any questions.

Contact Info

Phone: (404) 357 0424
Phone: (404) 641 6523
sheri@heartcentertherapy.com
efungcap@heartcentertherapy.com

Dunwoody, GA
Alpharetta, GA

Heart Center Therapy

Yoga Teacher Training

Online Application Form

Briefly describe your yoga background.

  • What styles of yoga have you studied/practiced?
  • How many years have you practiced these styles.
  • How often per week do you attend classes and/or maintain your own in home practice?
  • What is the primary reason you wish to participate in the Heart Center Therapy Yoga Teacher Training Program?
  • What is your goal in becoming a certified yoga instructor?
  • Do you currently experience any medical conditions?
  • Do you currently take any medications? If so, for what purpose?
  • Do you currently have any injuries?

    Your Name*

    Address*

    Telephone*

    Email*

    Date of Birth

    Emergency Contact*

    Emergency Contact Number*

    Yoga Experience

    Intention

    Health Information


    *By clicking “Submit” you agree to all of our Policies, Terms and Agreements.