Your Name (required)

Your Email (required)

What is your preferred name or nickname? (required)

What is the name(s) of the Yoga Alliance Teacher Training Certification Program you have completed? Please provide website to promote. (required)

Any additional training you may have received (if any): (required)

Where do you currently teach and what times? Please provide website(s) to promote. (required)

What inspires you on and off your mat? (required)

What has yoga personally done for you? (required)

What is the best advice you give your students? (required)

What is your 5-year goal? (required)

How do you choose to pay it forward in the world? (required)

What is your favorite quote? (required)

Desired month to be featured? e.g. "November" (required)

Facebook Page URL (if applicable)

Facebook Fan Page URL (if applicable)

Instagram Handle (if applicable)

Twitter Handle (if applicable)

Affiliated Studio Website (if applicable)

Studio or Personal Logo (.PNG only)

Headshot Photo (required)