On-Site Host 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 On-Site Page Name* First Last Phone*Email* Birthdate* Month Day Year * I am the person assuming responsibility for this Rise Up group I 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)?* Yes No Is this a group you are putting together specifically for Rise Up? Yes No How 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:* Guys Ladies Mixed What 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? Yes No Dates 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.
