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Donations and Activities
Kindergarten - 9th Grade
Student's Name and Grade
Last
-
First
-
Grade
Field Trip Donation Amount:
$40.00
Quantity:
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Grade
[1]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[2]
Grade
[2]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[3]
Grade
[3]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[4]
Grade
[4]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[5]
Grade
[5]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[6]
Grade
[6]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[7]
Grade
[7]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[8]
Grade
[8]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[9]
Grade
[9]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Student's First and Last Name
[10]
Grade
[10]
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Library Fine:
$
Item Subtotal:
$0.00
Misc Donation:
$
Item Subtotal:
$0.00
Description of Donations
AP Test Fee:
$99.00
Quantity:
Item Subtotal:
$0.00
What test are you paying for?
[1]
What test are you paying for?
[2]
What test are you paying for?
[3]
What test are you paying for?
[4]
What test are you paying for?
[5]
What test are you paying for?
[6]
What test are you paying for?
[7]
What test are you paying for?
[8]
What test are you paying for?
[9]
What test are you paying for?
[10]
Basketball Team:
$200.00
Select:
Item Subtotal:
$0.00
Volleyball Team:
$200.00
Select:
Item Subtotal:
$0.00
Space Place Program:
$150.00
Quantity:
Item Subtotal:
$0.00
Space Place Program Donation Code
[1]
Space Place Program Donation Code
[2]
Space Place Program Donation Code
[3]
Space Place Program Donation Code
[4]
Space Place Program Donation Code
[5]
Space Place Program Donation Code
[6]
Space Place Program Donation Code
[7]
Space Place Program Donation Code
[8]
Space Place Program Donation Code
[9]
Space Place Program Donation Code
[10]
Adult Chinese Language/Culture Class:
$325.00
Select:
Item Subtotal:
$0.00
Running Club:
$70.00
Select:
Item Subtotal:
$0.00
Age 5-8 Art Class:
$220.00
Select:
Item Subtotal:
$0.00
Study Hall:
$280.00
Select:
Item Subtotal:
$0.00
UCC Choir (Semester):
$190.00
Select:
Item Subtotal:
$0.00
UCC Choir (Year):
$350.00
Select:
Item Subtotal:
$0.00
Lego Club:
$150.00
Select:
Item Subtotal:
$0.00
Drama
After School Drama VOLUNTEER:
$65.00
Select:
Item Subtotal:
$0.00
After School Drama NON VOLUNTEER:
$105.00
Select:
Item Subtotal:
$0.00
Total:
$0.00
Payer Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:
$0.49
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
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