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 MEMBER INFORMATION 

  Please select from the following:

Participant*    (any individual with a physical disAbility)

Donor       (one who donates product/equipment)

Sponsor    (one who provides funding)

Volunteer (any individual that provides assistance at any
         program, activity, event, etc. - this person may or may not
         be physically disAbled)




 CONTACT INFORMATION 


Note: It is very important for you to supply an email addresses if you want to receive our monthly e-newsletter.

If applicant is under 18 years old
please provide Guardian Name and Phone.




 PERSONAL INFORMATION 




What activities and/or sports are you interested in? Please tell us a little more about your interests in the message box below:








*RISE Chapters shall have qualified participants who are individuals with sensory disabilities or individuals with mobility impairment who use a wheelchair and who are interested in promoting the purposes of RISE. Each adult qualified member, 18 years of age or older, shall have voting rights in the Chapter, but shall have no voting rights in RISE. Because RISE's mission is to create and provide accessible outdoor opportunities for the physically challenged, the RISE target group is mobility impaired individuals using an orthopedic device, with the exception of cerebral palsy individuals not requiring an orthopedic device.