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Retreat Registration

We can’t wait for you to join us on this epic vibe boosting retreat! Complete the registration and we will be in touch!

Retreat Registration Form

First Name

Last Name

Your Email

Phone

Date of Birth

Postal Address

Are you a current Upstate Member?

No Yes

Choose Your Room

Are you booking a Shared Room with a friend?

Do you have any dietary requirements?

Emergency Contact Details (Full Name & Mobile)

What are you most looking forward to about the Upstate Retreat?

Upstate Sport Outfit – Choose your Top Selection

Please note your top size below

Sizes: XS, S, M, L, XL

Upstate Sport – Womens Biker – Select Size

Other Comments/Questions

Terms and Conditions
Please view the terms and conditions HERE.
By submitting this form, you are confirming that you have read, understand and accept the Terms and Conditions.