RISE Academy registration form
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What is your study schedule preference? *
Part-time classes take place on Saturday. Full-time classes take place Tuesday - Friday.
Which of our course(s) are you applying for? *
Which RISE Academy branch do you want to study at? 
We have a campuses in Cape Town, Durban, and Johannesburg.
 *
Student's first name *
Student's surname *
What do people call you?
How would you describe your gender?
 *
Student's email address *
Please re-type your email address *
Student's WhatsApp number (Must be compatible with WhatsApp) *
We use WhatsApp to send event info - double check you've enter your number correctly so that you don't miss these messages.
Student's age *
Student's date of birth *
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Please select one of the following? *
Student's current school / current occupation *
Student's Instagram name
What City do you live in? *
We need the details of someone that you live with, this could be your partner or your parent (if you are under 21)
The reason for this is that very often we are provided with incorrect email addresses or phone numbers by students. We will only use the below information to try and contact you if we can not reach you on the email or phone number that you have already provided.
Applicant resides with (Friend / Partner / Mother / Father / Guardian) *
Please provide the details of this person who you live with. If you live alone, please provide us with the contact details of a family member.
The below answers are for the person that you live with. We need their details. Please do not put your details below.
Name *
Surname *
Title *
Home telephone *
Work telephone *
Cell phone (Cannot be the same as student's cell phone number) *
Email address (Cannot be the same as student's email address) *
Residential address *
Parent's place of employment (only required for applicants under 21 years of age)
Position held (only required for applicants under 21 years of age)
How did you hear about us? *
Required
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). I give RISE Academy consent to communicate with me using the contact details that I have provided. *
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