Membership Registration & Payment Form

Membership Registration & Payment Form

Please fill out your details and select your preferred membership option to join the Rise Up community.
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Name

First NameLast Name
Student Age
Student Name

First NameLast Name
Student Age
Student Name

First NameLast Name
Student Age
Student Name

First NameLast Name
Student Age
THE RISE UP COLLABORATIVE PMA MEMBERSHIP

To join The Rise Up community, there is a $500 program membership contribution. This allows us to provide a high-quality, faith-centered learning environment and meaningful experiences for our families throughout the year. Your membership is more than a fee—it’s your family’s access to a private, supportive, faith-filled learning community, including curriculum, discounts on programs, events, merchandise, and ongoing support year-round. This will be collected at the start of the membership agreement.
ZELLE - erica@theriseupcollaborative.com
Membership Days
ZELLE PAYMENTS TO erica@theriseupcollaborative.com

(your membership will not be confirmed until payment is recived)

THANK YOU
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Program Membership Contribution
Membership contribution for The Rise Up Collaborative

Student 1

$500.00



Program Membership Contribution
Membership contribution for The Rise Up Collaborative

Student 2

$500.00 Quantity



Program Membership Contribution
Membership contribution for The Rise Up Collaborative

Student 3

$500.00 Quantity



Program Membership Contribution
Membership contribution for The Rise Up Collaborative

Student 4

$500.00 Quantity



5 DAY MEMBERSHIP — Ages 5 - 12 — Monday - Friday 10 AM -3 PM — 5-day membership
5-day membership

$995.00



4 DAY MEMBERSHIP — Ages 5 - 12 — Monday - Thursday 10 AM -3 PM — 4-day membership
4-day membership

$850.00



4 DAY MEMBERSHIP — Pre -K Classes (Ages 3 & 4) — Tuesday - Friday 10 AM -3 PM — 4-day membership
4-day membership

$850.00



3 DAY MEMBERSHIP — Pre -K Classes (Ages 3 & 4) — Tuesday - Thursday 10 AM -3 PM — 3-day membership
3-day membership

$700.00



Innovation Friday - September (non-Member)

$275.00 Quantity



Innovation Friday - September Friday (Member)
$250.00 Quantity



Total

$0.00
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Membership Registration & Payment Form

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