Registration Form

The Courage to Awaken: Meeting the New Year (Residential Retreat)

January 2 - 5, 2027

- With Yogi Lama Gursam

* These fields are required

2 People in your group

Guest 1		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. Gender identification* We recognize that these options may not reflect everyone's identity. This field is used to automatically assign shared rooms. If you have questions about lodging or would like to discuss other options, please contact us. Residential 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 further understand and agree that I am solely responsible for monitoring my own food allergies, and that it is my obligation to determine whether any food prepared by NDF or its agents contain ingredients to which I am allergic. If I am unsure about the ingredients in any food preparation, it is my responsibility to request that information directly from NDF. 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.
Guest 1		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. Gender identification* We recognize that these options may not reflect everyone's identity. This field is used to automatically assign shared rooms. If you have questions about lodging or would like to discuss other options, please contact us. Residential 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 further understand and agree that I am solely responsible for monitoring my own food allergies, and that it is my obligation to determine whether any food prepared by NDF or its agents contain ingredients to which I am allergic. If I am unsure about the ingredients in any food preparation, it is my responsibility to request that information directly from NDF. 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.

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

3 Optional Items

Bed Linens Rental

Rentals are available for those flying in or unable to bring their own. In support of our energy and water conservation efforts, we ask guests to bring their own sheets.

$10.00

Select quantity

Towel Set Rental

Rentals are available for those flying in or unable to bring their own. In support of our energy and water conservation efforts, we ask guests to bring their own towels.

$5.00

Select quantity

Pick-up from New London Bus-stop (from Boston area)

$15.00

Select quantity

Drop-off at New London Bus stop

$15.00

Select quantity

Pick-up from Lebanon Bus stop (from New York area)

$30.00

Select quantity

Drop off at Lebanon Bus Stop

$30.00

4 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. *
Gender identification *	We recognize that these options may not reflect everyone's identity. This field is used to automatically assign shared rooms. If you have questions about lodging or would like to discuss other options, please contact us.
What pronouns do you use?
SHARED ROOM ONLY: I understand that I may be sharing a room with someone I do not know.
If I am sharing a room, I wish the following person to be my roommate if possible:
Emergency Contact (Name, Relationship & Phone) *	Please list someone who is not at the retreat.
Do you have any food allergies? *	If you are allergic to more than one food item, please indicate the severity of others in the comment box just below. Please check in with the kitchen staff after you arrive.
Please indicate the severity of your allergy to this food item or ingredient	I cannot ingest the allergen I cannot ingest food that has come in contact with the allergen I cannot come into skin contact with the allergen I cannot be exposed to airborne particle of the allergen
Other dietary restrictions (all of our meals are vegetarian)	Vegan Dairy Free Gluten Free Other (indicate in Comment box below)
Comments on food allergies and dietary restrictions
Do you have any problem stepping into a tub shower?	Yes No Several of our rooms have tub showers. While we cannot guarantee availability of rooms with step-in showers, if you have any problem stepping into a tub shower, we will do our best to place you accordingly.
Comments or Special Needs	Please let us know how we may support you regarding any severe non-dietary allergies, physical limitations, hearing problems, environmental intolerances, late arrival, early departure, or other special needs.
Cancellation Policy *	I understand and accept the cancellation policyFor cancellations (based on program start date): > 45 days =100% refund minus a $75 admin. fee; 31-45 days = 50% refund of the required deposit, or 75% refund if registration paid in full; 21-30 days = 50% refund of total registration cost; < 21 days = nonrefundable.
Residential 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.
Residential 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 further understand and agree that I am solely responsible for monitoring my own food allergies, and that it is my obligation to determine whether any food prepared by NDF or its agents contain ingredients to which I am allergic. If I am unsure about the ingredients in any food preparation, it is my responsibility to request that information directly from NDF. 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.
Have you ever attended a retreat at Wonderwell? *	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

5 Donate to Natural Dharma Fellowship

Please support Natural Dharma Fellowship’s capacity to spread the Dharma in accessible, creative and relevant ways in the contemporary world. Your gift supports scholarships and general operating expenses. NDF is a 501(c)(3) nonprofit religious organization and this donation is tax deductible.

$	Natural Dharma Fellowship Unrestricted Donation

6 Payment

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

If you choose to pay a deposit, please keep in mind that Wonderwell will automatically charge this credit card with any remaining balance 30 days before the retreat begins.

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

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

The Courage to Awaken: Meeting the New Year (Residential Retreat)

1 Accommodation Types

Select an option*

Private Room: Queen Bed & Ensuite Bath

Private Room: Queen Bed & Hall Bath

Private Room: Twin Bed & Ensuite Bath

Private Room: Twin Bed & Hall Bath

Shared Room: Twin Bed & Ensuite Bath

Shared Room: Twin Bed & Hall Bath

Women's Dorm

Women's Dorm: Private Annex

Men's Dorm

Commuting

2 People in your group

3 Optional Items

4 Please tell us about yourself

5 Donate to Natural Dharma Fellowship

6 Payment