• Registration Form Embodied Mind Evolved Heart Teacher Training

    yoga and mindfulness meditation teacher training for mental health professionals with NeLi Martin
  • Personal Details

  • Please describe in detail the kind(s) of yoga and meditation practice you do, for how many years you have practiced and how frequently? (This is NOT a prerequisite, but you do need to maintain a practice throughout the course).
  • Please give details of any yoga / mindfulness / meditation courses or retreats that you have attended. We are looking for the name of the retreat/course, year you attended, the length of the retreat/course, who taught the course, and where it was held. If you do not recall every detail, that is fine. Please just tell us what you can recall. (This is NOT a prerequisite, but you do need to maintain a practice throughout the course)
  • Dietary requirements

  • Special dietary restrictions that are essential for you during residential courses, other than vegetarian
  • Accomodation

    $135 per person per night covers food and accommodation. Rooms available at Bellbunya are twin share or dormitory (3 share). You may choose other local accommodation at your own discretion and cost.
  • (slight cost saving; you need to bring your own tent / camping gear)
  • We will do our best to organise lift shares. We will do this by gathering information from you all and we will put people in contact with one another. We can’t, however take responsibility for getting you to the course.
  • Medical

  • Acknowledgement of Risks

    Acknowledgement of Risks During the process of learning to teach yoga and meditation, people can experience intense and unusual psychological, spiritual and/or physical states. While yoga can be safely practiced by anyone, you need a certain level of physical and psychological robustness to undertake training to become a teacher. It may not be suitable for all people. At this particular centre in Queensland there are also risks from walking over hilly terrain and the nearby creeks, risks in swimming in the creek, or from walking in the bush (uneven paths, flora, fauna, e.g. snakes, spiders, ticks etc.). In voluntarily participating on this course I am aware that I may be exposed to risks that may lead to psychological issues, injury or death. I have considered the risks before choosing to acknowledge this form. I still wish to participate in the course. I accept that in ticking the box below, I will take full responsibility and liability for my own property, health and safety.
    Note: all information here is kept confidential and will be seen only by the managers and teachers.
  • Payment Process

  • To secure your place, please complete and submit this form and make payment to
    Commonwealth Bank Australia
    (Janelle Louise) NELI MARTIN
    BSB 06 4003
    Acc 00607279
    Please use your initial and surname and “EMEH” in the reference

    If you wish to use a payment plan, please speak with neli about this before making the deposit.

    e neli@nelimartin.com
    m 0420221461

    Details of your investment https://nelimartin.com/embodied-mind-evolved-heart/

  • This field is for validation purposes and should be left unchanged.