Application form for Breathwork for yoga teachers course

Your name *
Your date of birth
Your email *
Phone (mobile) *
Would you like to join our mailing list?
We send about six newsletters per year with news from the farm and special offers on our courses. You can unsubscribe at any time.Yes pleaseNo thanks
Your address
Sex *
FemaleMale
Special dietary requirements
How will you be travelling to Clare Island?
Driving (including car pooling)Public transport
If you are driving, would you be willing to give a lift to another course participant?
YesNoMay be
How long have you practiced yoga or meditation? Please give details , describe your current practice and mention where and when you trained as a yoga teacher. *
Are you currently teaching yoga? if so please give details. *
When did you study with us before? *This is a requirement for this course
Please mention any relevant medical conditition (including any serious injuries or surgery in the past, whether healed or not, substance abuse, etc.)
What are you hoping to get out of this course?
Macalla Farm is fully GDPR compliant. The information you enter on this form will not be shared with anyone else and will not be kept any longer than necessary. For more information see our Data protection policy