Yoga Therapy Ireland

Membership Application Form

Name:....................................................................................................................................................................

Address:................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

Tel. / Email: ..........................................................................................................................................................

Please text / email me details of up coming events: Yes No

Yoga Teachers Members Only:
I wish to be included on YTI Professional Referral Register and Website Yes No

YTI Group Insurance No: ..............................................................

Please return this form with €25.00 subscription to:

Yoga Therapy Ireland, 20 Auburn Drive, Killiney, Co. Dublin