Return to Immersion Application Form

Personal Contact

What immersion did you attend?*

Choose Immersion*

Name*

Full Name for Training Certificate*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email Address*

Birthday*

T-Shirt Size*

Emergency Contact

Emergency Contact Name*

Relationship*

Phone number*

About You

Occupation*

Your “Why. Why would you like to join this training program with YogaFaith? Please be specific as this training is open to a limited amount of participants.*

Do you have any medical issues or taking any medications that the training staff should be aware of? please explain(examples: mental health medications, physical challenges, etc).*

Are you willing to set aside time each day to be still with the Lord?*

Yes

No

Will try

What may be the biggest challenge to you during you training? (Lifestyle, Nutrition, Time Management, Surrender, New Subjects, etc).*

What can be your mantra, or scripture, to stay focused, determined, and on course during your training? This will be good to memorize!*

What Gifts, talents and abilities do you look forward to cultivating? (These may be what God wants you to go share!)*

CAPTCHA