Contact Form

Feel free to get in touch today to find out more about how I can support your transformation.
Use the email address below or alternatively use the form in this page.

First Name*

Last Name*




Where would you like to attend this training/retreat?

Date of Birth (dd/mm/yyyy)



Name/phone of emergency contact*

Why have you chosen this training/retreat?*

Your Address

Dietary Restrictions

Medical history

Do you practice yoga?

How did you hear about Beta?*

Do you meditate?

Other spiritual practices?*

Which Training/Retreat are you applying for?*

Additional information

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