{"id":7780,"date":"2016-09-30T17:33:57","date_gmt":"2016-09-30T16:33:57","guid":{"rendered":"http:\/\/optimumhealth.ie\/?page_id=7780"},"modified":"2022-04-30T17:11:27","modified_gmt":"2022-04-30T16:11:27","slug":"form-yttc","status":"publish","type":"page","link":"https:\/\/optimumhealth.ie\/yoga-teacher-training-diploma\/form-yttc\/","title":{"rendered":"Yoga Teacher Training Application Form"},"content":{"rendered":"<p><strong>We respond to all applications within two working days. If you don&#8217;t receive a response, please phone us.<\/strong><br \/>\nPlease complete the below form and then choose SEND.<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f9140-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/7780#wpcf7-f9140-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"9140\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f9140-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><label> Your Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input type=\"text\" name=\"Name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><input type=\"text\" name=\"Address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> City*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input type=\"text\" name=\"City\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Postcode (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Postcode\"><input type=\"text\" name=\"Postcode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Your Email*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Email\"><input type=\"email\" name=\"Email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Phone Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Phone\"><input type=\"tel\" name=\"Phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label> Date of Birth*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DOB\"><input type=\"text\" name=\"DOB\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Occupation*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Occupation\"><input type=\"text\" name=\"Occupation\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Gender*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-641\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-641\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-641\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-641\" value=\"Transgender\" \/><span class=\"wpcf7-list-item-label\">Transgender<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-641\" value=\"Prefer not to say\" \/><span class=\"wpcf7-list-item-label\">Prefer not to say<\/span><\/span><\/span><\/span><\/label><br \/>\n<label> Are you pregnant?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-642\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-642\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-642\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><\/label><br \/>\n<label> Have you any injuries or difficulties with yoga practice?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-862\"><textarea name=\"textarea-862\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> Have you any health concerns or illnesses?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-863\"><textarea name=\"textarea-863\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> How long have you been practicing yoga?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Duration\"><input type=\"text\" name=\"Duration\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> How often do you practice yoga?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Frequency\"><input type=\"text\" name=\"Frequency\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Where do you practice yoga?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Where\"><input type=\"text\" name=\"Where\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> What are your teachers names and backgrounds?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"teacherinfo\"><textarea name=\"teacherinfo\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> What styles of yoga do you practice?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"styles\"><input type=\"text\" name=\"styles\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Describe your background in meditation, if any.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"meditation\"><textarea name=\"meditation\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> Describe your experience and background in breath-work, if any.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"breathwork\"><textarea name=\"breathwork\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> Explain what you would like to get from doing this yoga teacher training.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"desired-outcome\"><textarea name=\"desired-outcome\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><br \/>\n<label> Any other comments or things we should know?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"other\"><input type=\"text\" name=\"other\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> How did you hear about us?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referral\"><input type=\"text\" name=\"referral\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n\n<p><input type=\"submit\" value=\"SEND\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n<p>If you experience issues with this application form, please email using the same headings as above to <a mailto=\"aisling@optimumhealth.ie\">aisling@optimumhealth.ie<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We respond to all applications within two working days. If you don&#8217;t receive a response, please phone us. Please complete the below form and then choose SEND. If you experience issues with this application form, please email using the same headings as above to aisling@optimumhealth.ie<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7513,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/pages\/7780"}],"collection":[{"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/comments?post=7780"}],"version-history":[{"count":0,"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/pages\/7780\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/pages\/7513"}],"wp:attachment":[{"href":"https:\/\/optimumhealth.ie\/wp-json\/wp\/v2\/media?parent=7780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}