Rise+ Application Form 2025/2026

Parent/Guardian Information

In order to finalize your application, we will need to confirm permission with your parent/guardian. A separate form will be sent to the email address provided below to confirm your enrollment in CanU.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

In the event of an emergency, CanU will contact your parent/guardian on file first. If we are unable to reach your parent/guardian, we will contact your emergency contact. We require an additional emergency contact (other than the parent/guardian provided above).
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email*
example@example.com

Participant Photo
Upload a photo of yourself here:*

Cancelof
For Internal Use Only

To ensure safety for our participants, volunteers and staff, we require a photograph of each participant. This photograph will be viewed exclusively by staff strictly for identification and attendance purposes.
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