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Application Form

Please send the following information to ida@moksanayoga.com.

We are having technical difficulties and the normal application form is not functioning. We are having a brand new website built so this will be fixed at some point.

First and Last Name

Address

City

Phone

Email

Gender (not necessary to answer if you prefer not to)

Occupation / Skills

Interests and hobbies

Yoga Teaching Experience

History of yoga practice (how long, what styles, which teachers)

Studied other Eastern systems of the body

Studied Western systems of the body

Have you ever been injured

How did you hear about this program

Additional Comments

 
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