Journal Submission Form

Name*
Legal name. Do not put nick names.
First Last
Email*
Confirmation email is sent here.
Enter Email Confirm Email
Journal Number*
ex. "Journal #4"
Date*
Date you completed your Yoga Nidra Session.
MM slash DD slash YYYY
Time Session Began*

: Hours

Minutes

AM/PM
Time Session Ended*

: Hours

Minutes

AM/PM
Practice Overview*
Entries should be short and to the point. You do not need to elaborate on personal experiences. You can broadly discuss what you experienced during your session; however, the focus should be on how you implemented techniques and the results of that implementation.
Cumulative Session Time (All sessions)*
Total Yoga Nidra session hours. ex. 15 hours and 20 minutes
Agreement*
* By checking this box, you certify that the information you have provided on this form is true and correct to the best of your knowledge. You also acknowledge that your instructor may contact you to discuss information you provided here and that your Yoga Nidra Practice Hours must be reviewed and approved by your instructor before being officially applied to the 20-hour requirement for Certification.
I certify that I have completed the hours specific above.