Formulir Pendaftaran Lokakarya Online RBA Dancing (Sabtu & Minggu, 24 & 25 Januari 2026)

Online Workshop Registration Form of Dancing Secrets of Natural Walking

(Please read and fill carefully, because the prerequisites for this workshop is more than SONW 1, especially for a new participant)
Saturday & Sunday, 24 & 25 January 2026 (19.00-22.30, Jakarta Time)

Instructor: IGPB Paramajaya (Rama) (+62) 896 0946 1588)
Silahkan pilih bahasa Anda di pojok kanan atas (Indonesian)
Participant's Full Name (for the new participant, this name will also be used to print your 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.
Lotus Garden ID
It is assumed that every participant has already registered to have Lotus Garden ID at https://lotusgarden.app/index.php
Mobile Phone Number (preferably with WhatsApp (WA) Application)*

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 will you 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/NWLMinorForm
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
Lotus Garden Member ID*
Find yours on: https://www.naturalwayofliving.com/login/
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..
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
Amount:*
Please choose prerequisite workshop that you attended:*

Secrets of Natural Walking - level 2Secrets of Natural Walking - level 1 (twice)Secrets of Natural Walking - level 1 and also 30 sessions in SoNW Center
When was your SoNW level 2 workshop?*

DayMonthYear
Who was your instructor?*
Name of your SoNW 2 instructor
When was your first SoNW 1 workshop?*

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

DayMonthYear
Who was your instructor?*
Name of your last SoNW 1 instructor

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

	Number of Sessions Attended
Indonesia - Jakarta Ketapang
Indonesia - Jakarta Selatan
Indonesia - Royale Golf
Indonesia - Bandung
Indonesia - Bali BPH
Indonesia - Bali Klinik
Indonesia - Makassar
Indonesia - Medan
Indonesia - Palembang
Indonesia - Surabaya
Australia - Hobart Lotus Center
Australia - Perth
Singapore
United States - Asheville

STATEMENT OF WAIVER AND RELEASE OF LIABILITY
Full Name of Participant (or Parent/Legal Guardian of Minor)*
Full Name
On this date*

DayMonthYear

UNDERTAKING OF CONFIDENTIALITY AND NON-DISCLOSURE ("Undertaking")
Full Name of Participant (or Parent/Legal Guardian of Minor)*
Full Name
On this date*

DayMonthYear

CANCELLATION AND REFUND POLICIES
Full Name of Participant (or Parent/Legal Guardian of Minor)*
Full Name
On this date*

DayMonthYear

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

DayMonthYear

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 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:

Online Workshop Registration Form of Dancing Secrets of Natural Walking

Saturday & Sunday, 24 & 25 January 2026 (19.00-22.30, Jakarta Time)

STATEMENT OF WAIVER AND RELEASE OF LIABILITY

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

CANCELLATION AND REFUND POLICIES

PRIVACY POLICY

FUTURE COMMUNICATIONS