Registration Form

Finding the Refuge Within: A Silent Meditation Retreat (Online)

February 26 - March 4, 2027

- With Lama Willa Blythe Baker

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1 Price

Please choose the payment tier that is the best fit for you. Thank you!

Select a price option *

	$359.00 – May All Beings Benefit!
	$259.00 – The Middle Way
	$129.00 – Held in Sangha Loving-Kindness
	$ Please enter an amount *

FINANCIAL SUPPORT OPTIONS: If paying a particular tier is an obstacle, you can access immediate financial aid. Start by selecting a payment tier, and then please refer to the discount codes in the Payment Section below.

2 Please tell us about yourself

First Name *
Last Name *
Email *	IMPORTANT: If you have previously attended NDF events, please enter the same email address that you used for other registrations. For issues with this, please email register@naturaldharma.org.
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Phone No. *
What pronouns do you use?
Comments for Online Programs
Online Waiver of Responsibility and Assumption of Risk *	I agree to these terms and conditionsBy checking this box and submitting this form, I understand that my participation may involve physical, emotional, outdoor, wellness, travel, and other activities that carry inherent risks, and I voluntarily assume all such risks. I agree to release, waive and hold harmless Natural Dharma Fellowship (“NDF”) and its successors and assigns from any and all liability for any loss, claims, damage, demand, and attorney’s fees due to injury to myself or my property of whatever kind and nature, arising directly or indirectly, which arise or may hereafter arise, from my participating in activities with NDF.
Online Participation Commitments *	I agree to these terms and conditionsI understand and agree that while participating in activities with NDF, I must strictly adhere to the following five (5) precepts: (1) refrain from lying or gossiping; (2) refrain from taking anything that is not freely given; (3) refrain from any form of sexual misconduct; (4) refrain from causing harm to others, and (5) refrain from using drugs or alcohol. Violation of these precepts may result in dismissal from participation in activities, in NDF’s sole discretion. If you are experiencing difficulties or feel at risk of breaking any of these guidelines, please reach out to a teacher or retreat manager. I give permission to NDF to photograph, videotape and audio record me. I further permit NDF to use such photographs, images, video, or audio recordings of me or my likeness or voice for publicity purposes, unless written notice is received by me and given to NDF to the contrary. I agree not to publish or share any photographs, video or audio recordings of other individuals nor use NDF’s logo or any affiliated names, marks or branding without express permission.
Is this your first time attending a Natural Dharma Fellowship event? *	Yes No
How did you hear about this event?
If you selected Other, please specify how you heard about the event
Email newsletter	Please add my name to the Natural Dharma Fellowship e-newsletter distribution list

3 Donate to Natural Dharma Fellowship

Donate to the continued efforts of Natural Dharma Fellowship's ability to offer the Dharma, allowing all who wish to receive the teachings.

$	Natural Dharma Fellowship Unrestricted Donation

4 Payment

All payments are processed and secured by Paypal Pro. We do not accept American Express cards.

FINANCIAL AID OPTIONS: Please enter the appropriate discount code in the field below. The discount percentage will be applied to the tier value selected: 20% off = FINAID20; 30% off = FINAID30; 50% off = FINAID50.

If your registration would depend on receiving in excess of the 50% discount of the lowest tier, please email register@naturaldharma.org for additional scholarship options before completing your registration.

Discount code

Sub Total	$0

Donations	$0

Taxes	$0

25% Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

Choose Payment Option

	Paying with credit card is Wonderwell's preferred payment method. However, if you need to pay with check, please know your check must be received within 7 days from submitting this registration, or the registration will be cancelled. Please put the name of the retreat on the memo line of your check. Payable to: Natural Dharma Fellowship PO Box 324 Springfield, NH 03284 Click on the button below and these instructions will be repeated on the next page.

First Name
Last Name
Card Number *
Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card