Early Light Academy

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Payment to Early Light Academy

Student's Name	Last Name	,	First Name	-	Student #
Student's Name

Student Leadership Government Conference:

$750.00

Quantity:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's First and Last Name	[2]
Student's First and Last Name	[3]
Student's First and Last Name	[4]
Student's First and Last Name	[5]
Student's First and Last Name	[6]
Student's First and Last Name	[7]
Student's First and Last Name	[8]
Student's First and Last Name	[9]
Student's First and Last Name	[10]

Capstone Experience (9th Grade Only):

Item Subtotal:

$0.00

Foundation Experience (7th Grade Only):

$175.00

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Item Subtotal:

$0.00

Elective Course Fees

Physical Education Electives

Weight Training:

$20.00

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Item Subtotal:

$0.00

Yoga:

$20.00

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Item Subtotal:

$0.00

Total Body Fitness:

$20.00

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Item Subtotal:

$0.00

Group Sports:

$20.00

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Item Subtotal:

$0.00

Kickboxing:

$20.00

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Item Subtotal:

$0.00

Beginning Tumbling:

$20.00

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Item Subtotal:

$0.00

Fine Arts Electives

Drawing 1:

$20.00

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Item Subtotal:

$0.00

Drawing 2:

$20.00

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Item Subtotal:

$0.00

Painting 1:

$20.00

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Item Subtotal:

$0.00

Painting 2:

$20.00

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Item Subtotal:

$0.00

Visual Arts:

$20.00

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Item Subtotal:

$0.00

Yearbook/Graphic Design:

$20.00

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Item Subtotal:

$0.00

Photography 1:

$20.00

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Item Subtotal:

$0.00

Photography 2:

$20.00

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Item Subtotal:

$0.00

Ukulele:

$20.00

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Item Subtotal:

$0.00

Guitar:

$20.00

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Item Subtotal:

$0.00

Orchestra 1:

$20.00

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Item Subtotal:

$0.00

Orchestra 2:

$20.00

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Item Subtotal:

$0.00

Choir 1:

$20.00

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Item Subtotal:

$0.00

Choir 2:

$20.00

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Item Subtotal:

$0.00

Intro to Stage Crew:

$20.00

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Item Subtotal:

$0.00

Stage Crew Intermediate:

$20.00

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Item Subtotal:

$0.00

Advanced Running Crew:

$20.00

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Item Subtotal:

$0.00

Theatre 1:

$20.00

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Item Subtotal:

$0.00

Theatre 2:

$20.00

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Item Subtotal:

$0.00

Theatre 3:

$20.00

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Item Subtotal:

$0.00

CTE/Digital Tech Electives

Robotics Technology:

$20.00

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Item Subtotal:

$0.00

Photojournalism/Photo 3:

$20.00

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Item Subtotal:

$0.00

Media Arts/Phoenix Feed:

$20.00

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Item Subtotal:

$0.00

Creative Coding:

$20.00

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Item Subtotal:

$0.00

Exploring Computer Science:

$20.00

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Item Subtotal:

$0.00

Miscellaneous Electives

Fashion Design Studion:

$20.00

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Item Subtotal:

$0.00

Spanish:

$20.00

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Item Subtotal:

$0.00

6-9 Sports and Extracurricular

Cross Country (Grades 6-9):

$85.00

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Item Subtotal:

$0.00

Volleyball (Grades 6-9):

$105.00

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Item Subtotal:

$0.00

Basketball (Grades 6-9):

$105.00

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Item Subtotal:

$0.00

Soccer (Grades 6-9):

$105.00

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Item Subtotal:

$0.00

School Play (Grades 2-9):

$75.00

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Item Subtotal:

$0.00

After School Activities and Clubs (Grades K-9):

Item Subtotal:

$0.00

Please describe what you are paying for in detail

Elementary Choir:

$50.00

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Item Subtotal:

$0.00

Elementary Orchestra:

$50.00

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Item Subtotal:

$0.00

Ballroom:

$125.00

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Item Subtotal:

$0.00

Other School Payments

NJHS Club Fee:

$12.00

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Item Subtotal:

$0.00

NJHS T-shirt:

$15.00

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Item Subtotal:

$0.00

Fines:

Item Subtotal:

$0.00

Description of Fine

Field Trip:

Item Subtotal:

$0.00

Student Grade

Donations:

Item Subtotal:

$0.00

Total:

$0.00

Payer's Information

First Name:	Last Name:
Address:
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City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Your statement will describe your payment as CBT*EARLY LIGHT ACAD
and the service fee transaction as CBT*SVC FEE EARLY LIG

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Cards:	3% plus $0.50 ($1.50 min) (1.5% additional service fee for foreign cards)
eCheck:	$0.50

Method of Payment:	Credit/Debit Card eCheck
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