Clone of Born To Rise 2027

SECTION 2 – PARENT/GUARDIAN DETAILS
Parent/Guardian Name

First NameLast Name
Relationship to You
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name (if different from the above)
Emergency Contact Number (if different from the above)
Please enter a valid phone number.Format: (000) 000-0000.

SECTION 3 – HEALTH & WELLBEING
Do you have any medical conditions we should be aware of?
If yes, please tell us more.
Do you have any allergies?
If yes, please provide details.
Dietary Requirements

Other
Are there any physical activities you may struggle with?
Is there anything else you'd like us to know so we can support you throughout the programme?

SECTION 5 – SCHOLARSHIPS
Will you be applying for one of our six scholarships?
If yes, please explain why financial support would make a difference to you.
If you aren't awarded a scholarship, would you consider approaching a local business, employer, charity or community organisation to sponsor your place?

SECTION 6 - DECLARATION
Declaration

I understand and agree to the payment schedule, consisting of an initial payment of £175.50, followed by 15 monthly instalments of £108, representing a total programme investment of £1,795.50 (10% discount for the Early Bird Promo). By submitting this application, I authorise SARBEN LIMITED, the legal entity of Born To Rise, to collect the agreed payments from my account in accordance with this payment schedule.
Note: If you see a blank page after clicking the payment button, simply press Enter again in the URL/address bar. You will then be redirected to the GoCardless payment portal.
Should be Empty:

Participant Application Form