Request Form This form is to be filled out by anyone who would like to lead there own Rise Up team. If you would like more information on how it works please visit our Rise Up Onsite Page Name* First Last Phone*Email* Birthdate* MM DD YYYY *I am the person assuming responsibility for this Rise Up groupI am filling out information for someone else.If you are filling this out for someone else please explain below:How Did you Hear about Rise Up?What makes you interested in using Rise Up for your group?Is this for a pre-existing groups (such as a Sunday School class or Bible Study group)?*YesNoIs this a group you are putting together specifically for Rise Up?YesNoHow long has this group been meeting?How many people do you anticipate participating in this course?Please specify if this is for a guys group, ladies group, or mixed group:*GuysLadiesMixedWhat is the Age Range of this Group?How many people do you anticipate participating in this course?Do you have dates in mind for taking your team through Rise Up?YesNoDates that I would like to take a team through Rise Up:Please fill out any other information that you think would be helpful for us to know. (Example, if you are using Rise Up for long distance discipleship (i.e., online).* I am 18 years old or over I understand that Rise Up requires that I go through Rise Up Team Leader Training. This iframe contains the logic required to handle AJAX powered Gravity Forms.