PranayamRX Training Application200-HOUR TRAINING: Modules 1, 2 & 3 Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * MM DD YYYY Current Employment/Occupation * Educational Background * How did you hear about us? * Choose Module 1 Start Date * January 19, 2024 March 19, 2024 Why are you applying for this training? * Want to begin a breathing practice Want to deepen my breathing practice Want to help someone breathe better Want to learn breathing techniques to add to my offerings Want to become a certified breath teacher Other If approved, what payment plan are you considering? * Module 1, 2 & 3 - $3,300 (Full Payment) Module 1, 2 & 3 - 3 payments of $1,200 (Payment Plan) I'd like to schedule a time to speak with a trainer Thank you!