Athletics
Extracurricular Fees
Drama Spring Season:
$200.00
Select:
Item Subtotal:
$0.00
Dance Club:
$40.00
Select:
Item Subtotal:
$0.00
LEAP Program:
$140.00
Select:
Item Subtotal:
$0.00
Field Trips & Parties
8th Grade October Moab Trip Deposit:
$100.00
Select:
Item Subtotal:
$0.00
8th Grade Moab Trip - Balance After Deposit:
$380.00
Select:
Item Subtotal:
$0.00
Middle School Fees, 2019-20
MYP Registration Fees:
$135.00
Select:
Item Subtotal:
$0.00
Student Name (Last, First)
PE Clothing
Must be paid for online in the front office at the time of pickup
PE Clothing:
$
Item Subtotal:
$0.00
Supplies & Field Trip Donation (K-5 only)
Kindergarten Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
1st Grade Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
2nd Grade Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
3rd Grade Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
4th Grade Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
5th Grade Student(s):
$45.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
Payee's Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Please pay with an e-check if possible.
Credit Card payments cost
the school
five to ten times
more than an e-Check!
Payment Information
Method of Payment:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
Processing Fees:
Credit cards:
2.75%
eChecks:
$0.49
Update name from
Payee's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
(Type number or swipe with cursor in this empty field)
Expiration Date:
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
Card ID (CVV2/CID) Number:
What is the Card ID?
Cardholder Information
(exactly as it appears on your statement)
Update from
Payee's Information
Cardholder's Name:
Billing ZIP/Postal Code:
Cancel
SIP
Program & Data © 2006-2019
Instant Payments
All rights reserved.
~
Terms & Conditions
~
Privacy Policy
~
Contact Us
~
SIP Version 2.78.8688; (API: 2.14)
.png "The Visa Global Registry of Service Providers (the Registry), located at (www.visa.com/onthelist) acknowledges this service provider has shown their commitment to security by meeting the requirements of the PCI Standard.")
