Know Thyself Meditation Immersion & Teacher Training Registration Online Teacher Training with Kimberly & Jim Carson. Step 1: Register Know Thyself In Teaching Registration Name * Email Address * Phone * Indicate primary reason drawn to teacher training * I plan to offer meditation programs I plan to integrate meditation practices into me existing professional service I wish to deepen my personal practice What best describes your current practice rhythm * Daily practice Couple times a week Off and on over the years What meditation style do you tend to practiceWhat meditation style do you tend to practice What best describes the longevity of your meditation practice * Less than 6 months 6-12 months 1-5 years 5+ years Please indicate you understand the expectations required for successful completion of the training by checking each of these boxes. * Completion of 8 week Know Thyself Meditation course Participating in twice monthly on-line group sessions Participation in monthly mentorship calls with Carsons Disciplined participation in meditation practices assigned Completion of reading and journaling assignments Completion of 1 meditation retreat with Carsons Teaching 8 week meditation course mentored by Carsons (to become certified) Please describe any mental health struggles you may have encountered. * Please describe current or past experience with psychotherapy. * Please share anything else about what draws you to this teacher training that woud be valuable for us to know. * Waiver of Liability * By clicking here, I am aware that participation in Yoga (hereinafter collectively referred to as “the Activity”) may result in injury. I assume the risk connected with participation in the Activity and hereby represent that I suffer from no physical impairment which would limit my ability to participate in the Activity. I understand that by participating in the class, I am representing that I am medically able to participate in the class. I acknowledge that Kimberly Carson and Mindful Yoga Works, LLC and the digital platform (hereinafter collectively referred to as “the Releasees”) have not and will not render any medical services including medical diagnosis of my physical condition. By clicking here, I specifically agree that the Releasees, their officers, employees and agents shall not be liable for any claim, demand, or cause of action of any kind resulting from or related to my participation in the Activity and I agree to hold the Releasees harmless from same. By clicking here, I hereby release, waive, discharge, and covenant not to sue the Releasees. I agree to indemnify, save, and hold harmless the Releasees and shall assume full responsibility for all causes of action, including, but not limited to bodily injury and death. Submit Step 2: Select Your Payment Rhythm and Pay Single Installment $3300 Quarterly Installments $825 (x4) Monthly Installments $275 (x12) Payment options kimberly@mindfulyogaworks.com @Kimberly-Carson-17
