(817) 476-0632

714 W Magnolia Ave, Fort Worth, TX 76104, USA



Feel free to send this in an email once completed to brynn@elementalyogatherapy.com or print and fill out and turn it into Brynn or Michael at 714 W. Magnolia Ave. Fort Worth, TX 76104.


Yoga Teacher Training Application

Personal Information




Phone:_____________________________. Alternate Number:_________________________________


Emergency Contact Information

Name: ___________________________ Phone:_______________________ Relationship: ___________


  1. Please write yourself a letter to be mailed and opened by you upon completion of the 300 hour Teacher Training Program. In this letter, describe who you are now. Then describe the changes you anticipate occurring over the course of taking the training program. Include changes in all areas of your life. Submit this letter to Brynn to be read and held for safekeeping for the next year. 

  2. A $500 Deposit will be applied to class cost and is due upon receipt of the application.  This $500 is non-refundable and reserves your space in the class.   Arrangement for monthly payments can be made and combined to total. 





For administration only :  

Monthly amount? _____________

First of month ________

15th of Month____________

Elemental Yoga School Teacher Training Tuition and Refund Policy

A deposit of $500 will be required to hold the applicant’s spot. This deposit will be nonrefundable.  Tuition can either be paid in full prior to the start date of the program or can be separated into monthly payments.

If a student enters the program and is terminated or withdraws, the student will be refunded the remaining tuition (minus the deposit) as follows:

Between the 1st and 2nd week, 90% will be refunded.

Between the 2nd and 4th week, 80% will be refunded.

Between the 4th and 8th week, 75% will be refunded.

Between the 8th and 12th week, 50% will be refunded.

Between the 12th and 16th week, 10% will be refunded.

After the 16th week there are no refunds.

Tuition is charged for all weeks scheduled prior to official termination of withdraw.  The effective date of termination or withdraw will be the earliest of the following:


  1. The last day of attendance if the student is terminated by a lead instructor

  2. The date of receipt of written notice from the student, or two weeks following the last date of attendance


Refunds will be made within 30 days of the effective date of withdraw or termination.


If for any reason, the program is canceled, all deposits and tuition paid will be refunded.