4th Grader Membership Form

upLoading...

Redirecting you to a secure payment page…

Please choose the correct membership based on the year your child is/was in 4th grade. 4th graders during other school years are not eligible for free memberships at this time.

Please add your 4th grader as a submember so they are included on your membership. Be sure to add all other people in your household (except yourself).

If you're able, please consider a donation to Riveredge in lieu of a membership fee. All donations to Riveredge are tax deductable.

No discount code is needed for your free 4th grade membership!

2024-2025 4th Grade Family Membership

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

First Name *

Last Name *

Email *

All members will receive the quarterly newsletter via email. Due to a significant increase in the cost of printing, a mailed paper copy is available for an additional $15/year. A link to purchase the paper newsletter add on will be in your confirmation.

Mailing Address Line 1 *

Mailing Address Line 2

City *

State/Province *

Zip/Postal Code *

Why do we ask these questions?

This information helps us understand who Riveredge serves. The data collected is crucial for Riveredge to apply for and receive funding through grants and partner organizations. Please answer these three questions for each person on your membership.

Your Birthday *

Your Gender *

Your Race *

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

4th Grader's Full Name *

Please also add your 4th grader as a submember on the next page to ensure they are added to your membership.

What school year is your child's 4th grade year? *

2024 - 2025

24-25 4th Graders: New memberships will expire 8/31/25. Renewed memberships will be extended by 1 year. 4th graders during other school years are not eligible for free memberships at this time.

School Name *

4th Grade Teacher (if known)

How did you hear about this program at Riveredge? *

We are Riveredge Members

Riveredge Website

Riveredge Email or Newsletter

Riveredge Social Media

Other Social Media Account

Teacher / School

Friend or Other Parent

Other

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Add additional members

{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Birthday *

Gender *

Race *

Add {{subMemberDisplayName}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} ({{subMemberDisplayName}})

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Frequency selected: {{recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card

ACH

PayPal

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

You will be charged

Click this button to make your payment via PayPal.

Note: You will be redirected here once your payment is processed by PayPal.

You will now be taken to PayPal to complete your transaction. Please wait.

Please note: since you are in the testing mode, this Paypal button will direct you to Paypal testing site (Paypal Sandbox) to simulate the payment process. All information is fictitious in Paypal Sandbox and there will be no real transactions. For your convenience, you can use our pre-registered testing account [jhuang@dev.neoncrm.com/Watercube2]. To enter test mode, Paypal Sandbox may need you to log onto Paypal Developer Central first. Please use [jhuang@dev.neoncrm.com/Watercube2] to login.

Amount:

{{formatAmount(totalAmount)}} USD

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

4th Grader Membership

RIVEREDGE NATURE CENTER

262.375.2715

4458 County Rd Y
Saukville, WI 53080

Mailing Address:

PO Box 26
Newburg, WI 53060

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.