Open Heart: Level 1 & 2

Open Heart Level 1 & 2

Pat Janes - 17 and 18 January 2026
Welcome!

Welcome to the registration form for the Open Heart Level 1 and 2 Upgraded Workshops hosted by Hobart, Tasmania.

These workshops will be held on Saturday 17th January 2026 and Sunday 18th January 2026. These workshops will be held on the Top Floor of the Lotus Centre (45 Victoria Street, Hobart CBD)

TIME

9:00 am-5:00 pm

COST

OH 1- $180/$40 repeaters

OH 2- $220/$55 repeaters

Package price for weekend- $380

IMPORTANT INFORMATION

Please make sure that your email address is correct. The confirmation of your registration and all other communication will be sent to the email address you provide below.

Upon submitting your registration, you will receive a reply from Jotform within a few seconds. This indicates that your registration is submitted successfully.

Please complete the form fully and make sure to press "submit" on the final page to ensure you have completed your registration.
Participant's Full Name (to be printed on the certificate)*
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.
Cell Phone*

Country CodeWhatsApp Number
Full Name of Emergency Contact*
Relationship to You (Parent, Spouse/Partner, Sibling, Friend, Other)*
Phone Number of Emergency Contact*

Country CodeWhatsApp Number
Alternative Phone Number of Emergency Contact (if available)

Country CodePhone Number
Email Address of Emergency Contact (if available)
Preferred Language (if not English) of Emergency Contact
To facilitate communication, you may be added into a Whatsapp group with other participants from the same workshop*

Yes, I give my consentNo, 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
Please choose one*

I am Indonesia CitizenI am a KITAS/KITAP holderI am non KITAS/KITAP (tourist)
Are you 18 years old and 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 or send to XXXX (email of Coordinator)
Parents/Legal Guardian of Minor Participant's Full Name*

PRIVACY AND TERMS OF SERVICE

Please scroll to the end of the text to tick the box
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
Full Name of Participant (or Parent/ Legal Guardian of Minor)*
Date*

DayMonthYear
Date
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 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.*

I agreeI do not agree
I confirm that all the information given in this form is true and accurate
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:

Open Heart Level 1 & 2

WORKSHOP REGISTRATION

PRIVACY AND TERMS OF SERVICE