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  • If you have any current or prior medical concerns, please consult your health care provider before taking this program.


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  • I hereby declare the above information is true to the best of my knowledge. I understand that misrepresentation of this information constitutes grounds for revocation of Certification. I understand that I am entitled to no refunds, credits or adjustments resulting from my failure to complete the certification requirements or to uphold any of these conditions.
  • understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly. To reduce the risk of injury of any kind, never force, strain or overstretch/exert yourself unnaturally. I understand that I know my body’s strengths and limitations better than anyone, and I will not push myself beyond my limits. This is very important!

    It is strongly advised that you seek the advice of your physician before taking this yoga program. Safety precautions and proper use of the yoga environment are rigorously practiced. Please use discretion while practicing yoga, as the instructor cannot be held responsible for personal bodily injury or the loss of any property belonging to students participating in the yoga class. This program and Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide to take this Yoga Program. I also understand that an emergency protocol has been planned. In the event an emergency situation occurs, I am financially responsible for any emergency services that may be necessary. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Victoria Haffer, State of Grace Yoga & Wellness Center, Nancy Anger and any added faculty and/or guest speakers. Please sign below to show that you understand the above statements and agree with these terms and conditions. The information I have given on this form is to be best of my knowledge complete and accurate.

  • By submitting this online application form, the participants of this program disclaim any liability and/or loss in connection with the Yoga asanas demonstrated or the instructions and advice expressed within the class sessions by the instructors including but not limited to Victoria Haffer, Nancy Anger and any added faculty and/or guest speakers and State of Grace Yoga and Wellness Center.


Payment Options – 200 hour

  • Upon completion of this application, you will be directed into our secure online membership system to make a non-refundable deposit of $574. If you don’t already have an account, you are invited to create one.

  • We will contact you to arrange another form of payment.