MH5-6(22-23 Okt 2022)
Language
  • English (US)
  • Indonesian

  • Open Heart 5 - 6

    Kasandra Hermawan [22-23 Oktober 2022]

  • Please choose your preferred language on the top right corner (Indonesian/English)

    Silakan pilih bahasa Anda di pojok kanan atas (Bahasa Indonesia/Inggris)

  • I am aware that:*

  • Cell Phone Number
  • To facilitate communication, you may be added into a Whatsapp group with other participants from the same workshop*
  • Are you 18 years old and above on the date the event you registered for begins?*

  • All minor participants/below 18 years old must submit a Consent & Authorization for Minor signed form. Please download from: http://bit.ly/NWLMF and upload it here or return it to nat@naturalwayofliving.com

  • Highest retreat attended*

  • Workshop Registration

  • Open Heart Level 5 (22 Okt)*
  • Last attended Open Heart Level 4 Upgraded Workshop*
  • I declare that:*
  • I declare that:*
  • Open Heart Level 6 (23 Okt)*
  • Last attended Open Heart Level 5 Upgraded Workshop*
  • Last attended Open Heart Level 6 Upgraded Workshop*

  • MY2-2 members who have financial hardship and have attended Open Heart 5 or Open Heart 6 workshop minimum 4 times based on recorded data in Lotus Garden, may choose to 'pay as you wish' for the 5th workshop and above. Although there is no set fee, a financial contribution is still required to attend this event.

  • I have financial hardship, have attended Masteryoga 2-2 & have attended Open Heart 5 at least 4 times, Open Heart 6 at least 4 times*
  • On this date*
     - -

  • "Pay as your wish" option

  • Please find the standard fees here for reference and enter the amount you would like to contribute.

  • Image field 402
  • I have attended Open Heart 5 at least 4 times*
  • I have attended Open Heart 6 at least 4 times*

  • Others

    As it is best to observe the physical distancing advice by the government, please only share computers with other healthy members of your family/those who are living with you in the same house. If you are feeling unwell or exhibiting symptoms of flu /covid/other virus, please ensure to self isolate to keep everyone safe.
  • Registration flow*
  • Declaration*

  • To ensure that every participant is aware of his/her rights and responsibilities, please kindly read through and electronically sign the following five pages. After signing each document, please press "NEXT" until you reach "SUBMIT".

  • Natural Way of Living - Participant Code of Conduct

    Please scroll to the end of the text to tick the box
  • On this date*
     - -

  • STATEMENT OF WAIVER AND RELEASE OF LIABLITY

    Please scroll to the end of the text to tick the box
  • On this date*
     - -

  • UNDERTAKING OF CONFIDENTIALITY AND NON-DISCLOSURE ("Undertaking")

    Please scroll to the end of the text to tick the box
  • On this date*
     - -

  • CANCELLATION AND REFUND POLICIES

    Please scroll to the end of the text to tick the box
  • On this date*
     - -

  • Privacy Policy

    Please scroll to the end of the text to tick the box
  • On this date*
     - -

  • Future Communications

  • I hereby give consent for Natural Way of Living and/or affiliated parties to send me information relating to Natural Way of Living’s products, services and activities (you can unsubscribe at any time). I am aware that if I do not agree, Natural Way of Living will cease all communication and I consent to forego my right to receive relevant information for this workshop.*

  • After clicking submit, you should receive an auto-reply from Jotform within several minutes to the email address you registered, this indicates a successful submission.

  • Should be Empty: