Open Heart: Level 3 & 4 - in Hamburg in September

Open Heart Level 3 & 4

Name of Instructor - 5. & 6. September 2026
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
Where you will be participating from?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please choose one:
Payment option
Are you 18 years old and above on the date of the event you registered for?
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
2 digit day, 2 digit month, 4 digit yearDate
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 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.
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Open Heart Level 3 & 4