RISE Application Form
You are one step closer to joining our country-wide family
Email address
I am under the age of 19 & in school
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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DD
/
YYYY
Cellphone Number
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Section Applying For
Your Instagram Name
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Current Academic School
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Allergies
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Applicant Resides with (Mother / Father / Both)
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Parent's Details
First Name
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Surname
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Title
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Home Telephone
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Work Telephone
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Cell Phone
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Email Address
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Residential Address
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Place of employment
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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.
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A copy of your responses will be emailed to the address you provided.
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