Whether you are taking the 100-hr Costa Rica Module or the entire 200-hr training, we want to know more about you and your aspirations!

The more specific you are - the more we can teach to your deepest needs and purpose. Thank you for taking the time!

Name

First Name

Last Name

Email

Phone

(###)

###

####

Referred by:

(To get your referring friend a $200 gift back)

First Name

Last Name

What Modules are you interested in? (We will send you info on your choice!)

Module 1: 100-hours in Costa Rica Only

Module 1: Costa Rica + Module 2: Online May-July 2025 (Group + Asynchronous)

Module 1: Costa Rica + Module 2: Leavenworth, WA Summer 2025 (TBA)

Age and # of Years Practicing Yoga

How has Yoga, Movement or Mindfulness personally affected your life/capacity?

How often do you practice yoga or meditation, what styles/forms do you love most?

Is there anything holding you back from commiting to an immersive training? What is the cost of NOT giving yourself this level of support/training?

What do you hope to gain professionally or personally from training with Jenna & Aimee?

How did you hear about this particular training and WHY NOW?

Describe your overall health and any past/present injuries, or circumstances we should know about. Do you have any reservations about training?

Tell us more! Your passion, deep interests, family, or career? Is there anything else you want us to know?

Would you like to bring or refer a friend? (if they register they receive $200 off total tuition, and you receive for $200 cash back).

YES! Would love that, and will send them your way.

Request a Zoom with Jenna & Aimee for more info