THRIVE! SLO 2018 Application
October 21 - 27, 2018
San Luis Obispo, CA
Tuition starting at $2,750
Date of birth
How did you hear about this program?
Attach a picture of yourself
Emergency Contact Name and Phone Number
Are you a healthcare professional? If yes, what kind?
What is your primary work?
How would you evaluate your current health?
Do you have a diagnosed medical condition? If yes, what is it? In what ways does this limit your activity?
Please list any medications you are taking and for what issue.
What are your biggest concerns or challenges regarding your physicality?
Do you have allergies? (food or otherwise) If yes, please list here:
What best describes your dietary needs?
How would you describe where you are in your life currently? What challenges or transitions are you experiencing?
What are your primary health practices which support your health and vitality? List 3-5 and their benefits.
Do you practice yoga? If yes, how much, what kind, and for how long?
In what other yoga or personal development programs have you participated in the last three-five years?
What, if any, REY programs have you participated in?
How would you describe your level of connection with friends and family?
What are you intending for yourself out of participating in this program?
What is your t-shirt size?
Would you like to contribute to the REY Scholarship Fund for Veterans and Police Officers? If yes, please state the amount you would like to give below.
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