Enrollment Application - Brookfield, New Berlin, Milwaukee

Are you ready for greatness? Let’s begin!

Please complete all fields.

Name*

First Name

Last Name

Date of Birth*

Email*

Phone*

Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Are you a resident of Wisconsin?*

Yes
No

Are you currently a US Citizen?*

Yes
No

What is your highest level of completed education?*

Choose your program of interest:*

How did you hear about us?*

You’re almost there! Here is an easy, step-by-step guide to help you complete your application. Upon submission of this completed Enrollment Application, please email the following items to info@yogasylum.com:

A copy of High School Diploma, GED or College Diploma.
One letter of character reference from a non-family member.
Healthcare practitioner approval

Schedule an enrollment interview and tour by contacting us at 262-781-8102. Walk-ins are always welcome.

With the above criteria being met, qualifying applicants will receive notice of acceptance. Upon acceptance, program placement is granted on a first-come, first-serve basis. Program enrollments are limited for a quality learning experience. Your placement in the program is secured upon the completion of a signed enrollment contract and payment of tuition deposit.

Disclaimer

We will never sell or share your information with anyone.
I hereby give my express consent for Everyday Bliss Institute for Holistic Wellbeing to contact me by phone, email, mail, and/or text message.

Comments

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