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Donations and Activities

Kindergarten - 9th Grade

Student's Name and Grade	Last	-	First	-	Grade
Student's Name and Grade

Field Trip Donation Amount:

$40.00

Quantity:

Item Subtotal:

$0.00

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

Library Fine:

Item Subtotal:

$0.00

Misc Donation:

Item Subtotal:

$0.00

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]

Space Place Program:

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:

Please be aware that payments will reflect on your statement as

CBT*RENAISSANCE ACADE and CBT*SVC FEE RENAISSAN

Student's Name and Grade is required
Student's Name and Grade is required
Student's Name and Grade is required
First Name: is required
Last Name: is required
Address: is required
City: is required
State/Province: is required
ZIP/Postal Code: is required
Phone: is required
Email: is required


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