Apply to Rise Up

Application for Admission & Wait List

Please complete all fields with the most accurate information that you can. Upon acceptance, this information is used to create your Rise Up Academy family profile.

* Indicates required field

Date *

Parent's Name *

First

Last

Parent's Birthday (Month/Day) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

The spouse (2nd guardian) fields are optional, but because we are a family school, we are interested in learning more about your whole family, not just the ones attending classes, so we encourage you to fill out all of the information that applies to your family.

Spouse's Name *

First

Last

Spouse's Email *

Spouse's Cell Phone Number *

Number of Children *

Please fill out the information for all of your children below.

Child Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #2 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #3 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #4 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #5 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #6 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #7 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #8 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #9 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Child #10 Name *

First

Last

Birthdate *

Day *

Year *

Gender *

Male Female

Email *

Rise Up Academy uses the principles explained in the book A Thomas Jefferson Education by Oliver DeMille. It is vital that each adult member of Rise Up understands the conceptual basis of our organization before becoming a member. Reading this book is a requirement before obtaining membership and before registering for classes.

Select TJEd Familiarity *

I have read A Thomas Jefferson Education by Oliver DeMille. I am familiar with the concepts in the book A Thomas Jefferson Education by Oliver DeMille. I have never heard of the book.

Enter any additonal comments about TJEd *

Please select all events in which you have previously participated *

The following are a list of requirements for the admission to Rise Up Academy. Please check the appropriate boxes below indicating your commitment.

Annual Commitments/Requirements *

I will pay a non-refundable annual membership fee/tuition deposit of $50. This deposit is due upon acceptance for new members and at the Spring Meeting to renew membership and is applied to your tuition in the fall. I will pay $200 of my tuition when I register for classes and understand that my registration is not guaranteed without it. I will pay the remaining tuition two weeks before the first day of school. I will attend Mom's Class, Parent Orientation Meetings and at least one member meeting per semester. I understand that my family is expected to be respectful of the Rise Up location building at all times. I understand that if I do not meet the above requirements, I will not be eligible for Parent Member status.

Before finalizing your application, please indicate your level of commitment by checking the appropriate boxes.

Submission Agreements *

I have read Rise Up Academy bylaws. I have read the Membership Agreement and agree to the terms and conditions contained therein. I commit to maintain enrollment in at least one adult course from the board approved membership course list or mentor a student project. I understand that Rise Up academy welcomes the free expression of religion. Mentors and youth are encouraged to integrate academic and religious ideas.

You are about to submit your application for admission to Rise Up Academy. Once you do this you will no longer be able to change or edit any of the information that you have provided using this form. Please ensure that all information is accurate and complete before you submit.

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