Please complete in block letters and return to:
Margaret O’Neill, 8 Parkmore Gardens, Magherafelt, Co Derry, BT45

Name:		______________________________________________________
Address:		______________________________________________________
		______________________________________________________
Post Code:		______________________________________________________
Telephone:		______________________________________________________
Mobile No:
E-mail:		______________________________________________________
Date of Birth:		________________________
Occupation:		________________________
Years Practising Yoga:		________
Please give names of teacher(s), approximate dates studied with them and location:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Have you read any Yoga books? Please state
_________________________________________________________________________________
_________________________________________________________________________________
Do you practice Yoga daily? For how long?
_________________________________________________________________________________
Please state any experience/qualifications you may have in any of the following: Anatomy & Physiology, Yoga Philosophy, Meditation, Physical Education, or any other subject relevant to Yoga?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Signature and address of current Yoga Teacher:		______________________________________________________
Date:		________________________
If you require further information, please ring Margaret at 028 79633481

© The Yoga Fellowship of Northern Ireland, 2005. All rights reserved. Printed from www.ynfi.co.uk