application Form

name

date of birth

gendermalefemaleother

email address

phone number (incl. country code)

whatsapp number (incl. country code)

emergency contact name

emergency contact number

registering for course—Please choose an option—50-hour yin ttc - peak physique brighton - june 2023250-hour multistyle - bali - july 202350-hour yin ttc - heartland - aug 2023250-hour part-time - heartland - sept 2023

preferred accomodation type—Please choose an option—no accommodation neededI'm joining a non-residential Yin-coursesingle occupancy roomtwin shared roomtriple shared room

food preferences (all meals are vegetarian)—Please choose an option—online, not applicablevegetarian is just fine!vegangluten freeother (please specify in comment section below)