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

Email address *
First Name *
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Surname *
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Preferred Name/Stage Name
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Date of Birth *
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Cellphone Number *
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Your Instagram Name
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Residential Address *
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Name of School/University/Place of work *
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Main Interest *
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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