Formulir Registrasi Event BFL

1
Anda mendapat link ini dari?* This field is required.Where did you get this link from?
Pameran/Booth/Fair BFL - Exhibition/Booth/Fair BFL
Event Internal (held by and or located in BFL)/Dibagikan Team Marketing BFL (Shared by BFL Marketing Team)
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Lokasi Pameran/Booth/Fair BFL* This field is required.Booth/Exhibition/Fair Location
Please Select
Please Select
JISD - UPH
WEE
JMS School
Pelangi Kasih School
3
Mengetahui BFL Center dari...* This field is required.Where do you know BFL Center from?
Media Sosial (Instagram, Facebook, dll.)
Teman/keluarga/rekan kerja, dll.
Website / Google Search
Other
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Nama Lengkap* This field is required.Full Name
First Name
Last Name
5
Jenis Kelamin* This field is required.Gender
Perempuan
Laki-laki
6
Email* This field is required.
example@example.com
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Nomor Telepon* This field is required.Phone Number
8
Jabatan* This field is required.Position
Orang Tua / Parents
Guru / Teacher
Siswa / Student
Konselor / Counselor
Learning Suport Team
Kepala Sekolah / Principal
Other
9
Asal Institusi/Sekolah (School or Institution Name)* This field is required.tulis "-" jika mendaftar sebagai orang tua / fill with "-" if you are registering as parents
10
Nama Anak* This field is required.Child's Name
First Name
Last Name
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Apakah Anak Anda Sudah Bersekolah?* This field is required.Is your child currently enrolled in school?
YESNO
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Nama Sekolah Anak* This field is required.Child's school name
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Tanggal Lahir Anak* This field is required.Child's birth date
Date
Year
Month
Day
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Saya mendatar untuk kegiatan* This field is required.I am registering for...
Please Select
Please Select
Breakthrough Ambassador Competition
Intensive Shadow Teacher Training Batch 2 - Full Package (3 Sessions)
Intensive Shadow Teacher Training Batch 2 - Sensory Integration in Classroom Settings - Middy Stephanie, A.Md.OT.
Intensive Shadow Teacher Training Batch 2 - Kinesiology to Support Emotion Regulation & Focus - Naomi Kristiana, M.Psi., Psikolog
Intensive Shadow Teacher Training Batch 2 - Developing IEP (Individualized Education Program) - Frida Sisca, M.Psi., Psikolog

Dear {nama},

Terima kasih karena telah tertarik untuk berpartisipasi dalam kegiatan BFL Center.

Demi kelancaran acara, mohon untuk mentransfer biaya registrasi sesuai dengan nominal kegiatan yang Anda pilih.

----

Mohon pastikan Anda mentransfer sesuai dengan pilihan event Anda.

Intensive Shadow Teacher Training

Event	Price (Rp)
Intensive Shadow Teacher Training Batch 2 - Full Package (3 Sessions)	1.500.000
Sesi 1 Pembicara: Middy Stephanie, A.Md.OT. Topik: Sensory Integration in Classroom Settings	750.000
Sesi 2 Pembicara: Naomi Kristiana, M.Psi., Psikolog Topik: Kinesiology to Support Emotion Regulation & Focus	750.000
Sesi 3 Pembicara: Frida Sisca, M.Psi., Psikolog Topik: Developing IEP (Individualized Education Program)	750.000

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Preferensi Sesi Shadow Teacher Training* This field is required.Session Preference for Shadow Teacher Training
Onsite at BFL Center
Online
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Unggah Bukti Pembayaran* This field is required.BCA – PT Pembaharuan Hidup Cemerlang No. Rekening / Account No.: 1945678803
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