Five Pillars Yoga

200-Hour Yoga Teacher Training Application

Please fill out the below and click Send to submit.

Please remit your $250 application deposit by Clicking Here.

This deposit is non-refundable if you are accepted, and it will be applied to your tuition balance. If for some reason you are not accepted into the program, the deposit will be returned. We cannot process any applications without the accompanying deposit. Thank you.



General Information

Full Name



Best Phone


Emergency Contact + Relationship

Emergency Contact Phone Number:


Are you fluent in English?

Yoga Background

Have you ever participated in a Yoga Teacher Training before?

Do you currently teach Yoga? If so, where, what style, and for how long?

If you do not already teach, are you intending to teach yoga in the future?

How did you hear about the Five Pillars YTT?

Work & Education

Current Occupation & number of years?

Previous, if any?

Health History

Please list any medications you are currently taking:

Please list any major medical protocols you're currently undertaking:   

Participation & Certification Criteria

In order to successfully complete the Five Pillars 200-hour Teacher Training and earn your teaching certificate, there are certain criteria that must be fulfilled as set forth by the Yoga Alliance and by Five Pillars Yoga School.

These criteria include class attendance and participation, written homework assignments, assigned readings, intermittent study sessions, and practice-teach (Practicum) sessions attended and reviewed by faculty.

There are a certain number of hours that are required to satisfy specifications put forth by Yoga Alliance, and attendance at all sessions is mandatory. There is a certain amount of hours that can be made up, on a case-by-case basis. Makeup sessions will incur a fee outside of the program cost.

In addition to discussion and coursework, the Five Pillars YTT program includes a rigorous physical component. I represent and warrant that I am physically fit, and have no medical condition which would prevent my safe and sustainable participation. I understand that it is my responsibility to consult with a physician if needed, prior to and regarding my participation in the program. I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of my participation in the Five Pillars 200-Hour Yoga Teacher Training.

Five Pillars reserves the right to dismiss anyone from the program who exhibits inappropriate behavior detrimental to the group, or actions that violate the ethical guidelines as put forth by the Yoga Alliance.

Tuition is non-refundable within 30-days of the program start date. Payment plans available on a case by case basis.

I confirm that all information shared in this application is true and accurate to the best of my knowledge. I understand that that incomplete or inaccurate information may result in my non-acceptance or dismissal from the program.

Checking yes below indicates your acknowledgment of the above and takes the place of your signature. *