Sign up

Yoga Vidya Rotterdam

I here­by sign up for the 2-year Yoga Vidya Teacher Train­ing Course, start­ing in Jan­u­ary 2019.

Personal information

First name*
Sur­name*
Com­pa­ny name
Street*
House num­ber*
Postal code*
Place*
Coun­try*
Tele­phone num­ber
Date of birth*
 / 
 / 
Place of birth
E-mail*
Con­firm e-mail*
Nation­al­i­ty*
Lan­guage — Please choose ‘Eng­lish’ or ‘both’, as great parts of the train­ing will be giv­en in Eng­lish (see Terms and con­di­tions).

Additional information

Yoga expe­ri­ence
Moti­va­tion for the train­ing
How did you hear from us?
Health issues

Accommodation/ price category

Please make your choice

Direct debit

Ini­tials account hold­er*
Sur­name *
IBAN nr.*
Coun­try — in case of for­eign bank
BIC — in case of for­eign bank

Signature registration

Agree­ment*

 

Mail your ques­tions to info@yoga-vidya.nl
or call 06 – 25 100 420 (Rama Shak­ti).