Twice as Dedicated Registration

Hey there! We're currently doing our best to add online membership registration functionality, but it's still a work in progress. Filling out this form for the time being does not guarantee any membership status unless physical payment is made. Thanks!

Member 1

First Name

Last Name

E-mail Address

Mobile Number

Member 2

First Name

Last Name

Secondary E-mail Address

Phone Number

Username

Password

Confirm Password

What do you hope to achieve during your time with Urban Perform?

Only fill in if you are not human

Sign me up for the newsletter!