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Raise Up Crew Application Form

Please fill out the information below to apply for a Raise Up Crew

Name*
Crew meetings are based out of the Lynfield YMCA in Margaret griffen park
Meetings are based out of the New Lynn Community Centre next to the Mall / Bus station
Date of Birth*
Gender*
Ethnicity*
(tick all that apply)
Address*
How did you hear about Raise Up?