Registration Form

The Wakeful Body (Online Course)

February 26 - April 7, 2025

- 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 *

	$309.00 – May All Beings Benefit!
	$259.00 – The Middle Way
	$149.00 – Held in Sangha Loving-Kindness
	$ Please enter an amount *

FINANCIAL AID 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 at the end of Section 2.

2 Please tell us about yourself

	Send me a reminder if I don't register today
First Name *
Last Name *
Email *	IMPORTANT. PLEASE READ. When registering for events, please be sure the email address you use to register is the SAME email address you use to log into your user account. Recordings and course materials are connected using the event registration list. To prevent duplication and scattering of your resources, these two addresses must match.
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Phone No. *
What pronouns do you use?
Comments or Special Needs
Online 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
Enter discount code if you need financial aid	The discount % for the code entered will be reflected in the Payment secton.

FINANCIAL AID OPTIONS: Please enter the appropriate discount code in the field above. 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.

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 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.

4 Payment

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

Sub Total	$0

Taxes	$0

25% Deposit	$0

Due Now	$0 $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. 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