OFFLINE WORKSHOP REGISTRATION

Sign-Up form for Offline Workshop
& Event Submission

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Full Name

Are you Indonesian (WNI) or Foreigner

Phone / Whatsapp

Telegram Username

Teachers certificate

Click or drag files to this area to upload. You can upload up to 5 files.

Please Upload Your Certificate

Your Bio

Max 300 words

Instagram Account

Social Media Hashtags

We will help promote your offer from our social media, please provide us your relevant audience hashtags.

Social Media Details/Captions *

For Instagram we can only use limited text.

Title of The Event

Extended / full description of the Event

Short description of event for poster

Choose Your Type of Events

Where do you wanna do the event?

Price in IDR (Indonesian Rupiah)

Number Only

Early bird price

Number Only

Do you need photographer and videograher during your session?

When and what time do you want to do your event?

Date

Time

Any Special Requirements needed during your offering?

Example: mandala flower, flowers in general, microphones, print outs, white board, candles, projector, special clothes etc.)

Agreed to Proceed this Form

I’ve read and understand that Samadi Bali will not be responsible for any illegal work without a valid KITAS Kerja (work visa) and IMTA (work license).