Urban Zen Integrative Therapy Training Application

To apply please fill out the following application form or download it and complete the application.

Include a headshot with your submission.

Email, mail to Life Energy Institute/ UZIT Program, 19600 Cave Way, Topanga, CA 90290, fax (310) 455-9832.

Urban Zen Registration

  • 2020 UZIT APPLICATION


    Please write n/a on the application if not applicable to you

  • Date Format: MM slash DD slash YYYY
  • PERSONAL/CONTACT INFORMATION:

  • EMERGENCY CONTACT INFORMATION:

  • DEADLINE FOR APPLICATION SUBMISSION: Oct 1st, 2020
  • INTEREST IN & GOALS FOR THIS PROGRAM:

  • YOGA EXPERIENCE:

  • OTHER (NON-YOGA) EXPERIENCE:

  • EXPERIENCE WORKING WITH PATIENTS AND ILLNESS:

  • GENERAL QUESTIONS: