GOR_2302

Gift of Relationship Weekend

3-5 February 2023
First Name *
Last Name *
E-mail *
Option

I am attending as a single I am attending as a couple
My Partner's First Name
My Partner's Last Name
My Partner's Email
example@example.com
Billing Name: *
Billing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Country *
Phone Number *
Which Ride for Youth rider would you like to benefit from the proceeds of your ticket sale?

Malcolm Doig Dominique Mecoy Hans Bruechle Maria Louise Cashmore Nicole Smith
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Privacy Policy & Cancellation
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Cancellation of Booking
Program registration fees are fully refundable or transferable in the event of a written cancellation earlier than 14 days prior to the event. Cancellations within 14 days of the event date will be granted a refund of program fees minus $200 (administration costs).
Release Form
Please carefully read our Release Form before registering. By ticking this box, you are Agreeing to the Terms & Conditions of the Release Form.
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