ACADEMIC PAYMENT FORM
Student's Name
*
First Name
Last Name
2nd Student's Name
First Name
Last Name
3rd Student's Name
First Name
Last Name
4th Student's Name
First Name
Last Name
Name of parent or person making payment
*
First Name
Last Name
Email
*
example@example.com
Please select what your payment is for
*
Tuition
Registration $150
Supply/Book Fee (22-23) $250
Extended Care (morning & after) $250
$35 Daily Before/After Care fee
Before care $100
After care $150
Uniform bundle $160 (5 uniform shirts & uniform zippered sweatshirt) Required for new students.
Uniform shirt $25
Uniform zippered sweatshirt $35
Other
Invoice Number (if applicable) or any other applicable information needed to submit your payment:
Email (to provide you with a receipt)
*
example@example.com
Sign here and press the red submit button to complete your payment
*
Submit
Should be Empty: