Booking Form Name* First Last Email* Preferred phone number*Postal address* Address Address Line 2 City/Town Post Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Partner's name and relationshipBaby's EDD* Where are you thinking of having your baby?*Let me know where you're currently thinking you'd prefer to give birthIs this your first pregnancy?*If not, please let me have a brief historyHow did you learn about Hypnobirthing with Katrina Berry?*friend referralmidwife recommendationI've already worked with you 🙂the well gardengoogle / internet searchfacebookinstagramWhat do you hope to achieve with Hypnobirthing?*Is there anything else you think it would be useful for me to know?Which course are you booking for?* Immersion evening Tuesday 15th January - 6.30pm - 10pm Wednesdays 23rd, 30th Jan, 6th & 13th Feb, 7pm - 10pm Sundays 27th Jan, 3rd, 10th & 17th Feb - 3pm - 6pm Mondays February 4th, 11th, 18th, 25th - 7pm-10pm Sundays February 24th, 3rd, 10th & 24th March - 3 - 6pm Wednesdays February 27th & 6th March - break - 20th & 27th March - 7 - 10pm Mondays March 4th, 11th, 18th, 25th - 7-10pm Please select how you'd like to learn Hypnobirthing*The fee as shown is for the course in its entirety for the mother and her birthing companion (unless flying solo) and includes all course materials, the books ‘Why Hypnobirthing Matters’ and "The Positive Birth Book" and audio hypnosis recordings.small group course, for both of you - £345small group course, flying solo - £195immersion evening, for both of you - £150small group course + one private session - £495private course (please contact Kat in advance to discuss availability) - £987Payment Method*Bank TransferCredit/Debit CardPayPalPlease send your payment to: HSBC Sort Code: 40-03-33 A/c 21731831CouponIf you have a coupon code please add it here and click the "Apply" button Total £ 0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.