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RISE Application Form
You are one step closer to joining our country-wide family

Email address *
Application form for students over the age of 21
First Name *
Your answer
Surname *
Your answer
Preferred Name/Stage Name
Your answer
Date of Birth *
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Cellphone Number *
Your answer
Section Applying For *
Your Instagram Name
Your answer
Residential Address *
Your answer
Place of employment *
Your answer
Position Held *
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How did you hear about us? *
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I have read about the prices and venues for the course/workshop I'd like to apply for, before submitting this form. (All course information can be found at www.riseacademy.co.za) *
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A copy of your responses will be emailed to the address you provided.
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