Registration Form

Register for Online Dharma Sunday (9/13) - Heartfelt Confidence (Online)

September 13, 2026

- With Camille Hykes and Shemaleiah Geremia-Smylie

* These fields are required

1 Price

Enter Your Donation Amount

	$ The suggested amount is $15.00. You can enter any amount or leave it empty.

2 People in your group

Guest 1		First Name* Last Name* Email*
Guest 1	suggested-donation	First Name* Last Name* Email*

After completing this form, emails will be sent to everyone in your group to complete their information.

3 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
Waiver of Liability *	I agree to the terms and conditionsUnderstanding the voluntary nature of my participation in the work, programs, and activities offered through Natural Dharma Fellowship (NDF), and in return for the benefits I receive from them, I release and discharge NDF and its agents and employees, and I promise to hold NDF and its agents and employees harmless, from all causes of action, liability and claims for all personal injuries, illness, property damage or death which I may now or hereafter have, which are caused by, or are directly or indirectly related to, any work I may perform or any activities in which I engage during my participation in this NDF program or my stay at the center. For the period of this class, by checking this box, I agree that I am covered for my medical insurance and these areas are not the responsibility of Natural Dharma Fellowship. I agree to accept full responsibility for the security of my personal belongings. Wonderwell is not responsible for lost, missing, or stolen items.
Program Participation Agreement and Release *	I agree to these terms and conditions. PLEASE use the View command on your computer to enlarge the type below so that you can easily read the agreement. Recordings by Natural Dharma Fellowship: At times NDF makes audio and video recordings of retreats for educational purposes or to promote participating in future programs. I hereby consent to being audio and video recorded during this online retreat, for example during Q&A sessions or any other time I am speaking online. I grant permission for these to be published or posted on Natural Dharma Fellowship’s websites. Social media postings and photos by other retreatants: NDF recognizes that a portion of its guests may wish to photograph, video, and audio record aspects of their program experience to post on various social media sites. In order to protect the privacy of others, NDF requires that all guests agree not to post or publish any images, video, or audio recordings of other individuals, or make use of the Natural Dharma Fellowship or Wonderwell name or logo, without express permission. I understand that I am solely responsible and potentially liable for any harm or damages caused by my online activity relating to Natural Dharma Fellowship or Wonderwell Mountain Refuge. Release of Liability: After being informed of the above risks and responsibilities, I generally release Wonderwell Mountain Refuge and Natural Dharma Fellowship, its teachers, instructors, agents and other representatives, from all claims, causes of action, medical expenses, and other costs related to my guest participation, whether online, or from my later use of information or instruction at home. I will abide by the terms of the Participation Agreement and Release because it makes me aware of NDF’s policies and creates a legally binding general release of liability.
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

4 Donate to Natural Dharma Fellowship

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

$	Natural Dharma Fellowship Unrestricted Donation We invite you to donate to Natural Dharma Fellowship. Your support helps us with ongoing operating expenses and allows NDF to offer our programs to all, regardless of financial resources.

5 Payment

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

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