Welcome to Beta Lisboa > Registration Form

    First Name*

    Last Name*

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    Where would you like to attend this training/retreat?

    Date of Birth (dd/mm/yyyy)

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    Name/phone of emergency contact*

    Why have you chosen this training/retreat?*

    Your Address

    Dietary Restrictions

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    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