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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!
If you have any questions – reach out to us at retreats@upstatestudios.com.au or (03) 5222 1690.

Retreat Registration Form

First Name

Last Name

Your Email

Phone

Date of Birth

Postal Address

Are you a current Upstate Member?

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?

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.

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