Formulir Pendaftaran Lokakarya Online RBA 2, Sabtu - Minggu, 11

Registration Form of Secrets of Natural Walking Workshop - Level 2

Instructor: Rama (+62 896 0946 1588)
Saturday & Sunday, 11 & 12 October 2025

(08.30 - 17.00 Jakarta Time)
Please choose your preferred language on the top right corner (Indonesian/English) / Silakan pilih bahasa Anda di pojok kanan atas (Bahasa Indonesia/Inggris)
Participant's Full Name (to be printed on the certificate)*
Full Name
Email & Reconfirm Email*

Confirmation EmailEach participant should have his/her own unique email address. Ensure spelling is correct as important communication will be sent to the email provided above. From our experience, Zoom links are easily received by Gmail accounts.
Lotus Garden Member ID*
Find yours on: https://www.naturalwayofliving.com/login/ or contact the instructor/workshop committee to help you with this ID
Phone Number*

Country CodePhone Number
To facilitate communication, you may be added into a Whatsapp group with other participants from the same workshop.*

Yes, I give my consent.No, I do not consent. I’m aware that by not consenting, I may miss out on important communication related to the workshop.
Where you will be participating from?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you 18 years old or above on the date of the event you registered for?*

YesNo
All minor participants/ below 18 years old must submit a Consent & Authorization for Minor signed form. Please download it from: http://bit.ly/NWLMF
and upload it here.
Please upload minor form.*
Parents/Legal Guardian of Minor Participant's Full Name*
Full Name
Please check the box if you are Indonesian KITAS/KITAP holder (please leave blank if irrelevant)

Yes, I am KITAS / KITAP holder.
Participants status:*

NewRepeat
When was your last workshop?*

DayMonthYear
Who was your instructor?*
Name of your last instructor
Please upload your certificate if you have it available.
Have you attended MY 2-2 before?*

YesNo
MY2-2 members who have financial hardship and have attended Secrets of Natural Walking level 1 minimum 4 times based on the 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.
Lotus Garden Member ID*
Find yours on: https://www.naturalwayofliving.com/login/
I have financial hardship, and have attended Masteryoga 2-2 and have attended this workshop 4 times or more.*

YesNo
Full Name of Participant (or Parent/Legal Guardian of Minor)*
Full Name
On this date*

DayMonthYear
Currency:*
e.g.: AUD / EUR / IDR / NZD / SGD / USD
Contribution Amount :*
When was your first Level 1 workshop?*

DayMonthYear
Who was the instructor?*
Name of your first instructor
When was your last Level 1 workshop?*

DayMonthYear
Who was the instructor?*
Name of your last instructor
Please choose prerequisite workshop that you have attended: (tick all that are relevant)*

Open Heart - level 2Secrets of Natural Healing - level 2Spiritual RetreatAny two of Daily miniseries 3A/3B/3C
When was your OH level 2 workshop?*

DayMonthYear
Who was the instructor?*
Name of your OH instructor
When was your SoNH level 2 workshop?*

DayMonthYear
Who was the instructor?*
Name of your SoNH instructor
When was your Spiritual Retreat workshop?*

DayMonthYear
Who was the instructor?*
Name of your Spiritual Retreat instructor
When was your Daily miniseries workshop?*

DayMonthYear
Who was the instructor?*
Name of your Spiritual Retreat instructor
Please choose prerequisite program that you have attended: (tick all that are relevant)*

Mastering the Basics of SoNW (Intensive Walking)SoNW Center 3 times per week for 1 monthHeart & Health (based on SoNW) workshop
When was your Mastering the Basics of SoNW workshop?*

DayMonthYear
Who was the instructor?*
Name of your Mastering Basic SoNW instructor
I attended 3x/week for 1 month at the following SONW Center:*
From:

DayMonthYear
To:

DayMonthYear
When was your Heart & Health workshop?*

DayMonthYear
To ensure that every participant is aware of his/her rights and responsibilities, please kindly read through and electronically sign the following page. After signing the document, please press "SUBMIT".

PRIVACY AND TERMS OF SERVICE
Please find below:

    I. Natural Way of Living Participant Code of Conduct

   II. Statement of Waiver and Release of Liability

III. Undertaking of Confidentiality and Non-Disclosure (“Undertaking”)

IV. Cancellation & Refund Policies

   V. Privacy Policy

Please make sure that you read and understand the statements and kindly tick the box.
I hereby give consent for the Privacy Policy to apply to my current and previous data collected through this website/service prior to the passage of the General Data Protection Regulation into law in the European Union.*

I agree
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 agreeI do not agree
I confirm that all the information given in this form is true and accurate
Full Name of Participant (or Parent/Legal Guardian of Minor)*
Full Name
On this date*

DayMonthYear
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:

Registration Form of Secrets of Natural Walking Workshop - Level 2

Saturday & Sunday, 11 & 12 October 2025

PRIVACY AND TERMS OF SERVICE