SIPlive: Edwards County Registration (L.?)

Student's First and Last Name

Grade Level

Student's First and Last Name

Grade Level

Student's First and Last Name

Grade Level

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West Salem Grade School

Book Rental

WSGS: Early Childhood:

$55.00

Quantity:

Item Subtotal:

$0.00

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

WSGS: Grades K-8:

$65.00

Quantity:

Item Subtotal:

$0.00

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

WSGS: Technology (Grades 6-8):

$20.00

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]

Athletic Participation

If you are registering 3 or under use Athletic Participation.
If you are registering 4 or more use Athletic Family Plan.
The maximum costs per family is $300.00

WSGS: Athletic Participation: (6th - 8th grades):

$100.00

Quantity:

Item Subtotal:

$0.00

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

Albion Grade School

Book Rental

AGS: Early Childhood:

$55.00

Quantity:

Item Subtotal:

$0.00

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

AGS: Grades K-8:

$65.00

Quantity:

Item Subtotal:

$0.00

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

AGS: Technology (Grades 6-8):

$20.00

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]

Athletic Participation

If you are registering 3 or under use Athletic Participation.
If you are registering 4 or more use Athletic Family Plan.
The maximum costs per family is $300.00

AGS: Athletic Participation: (6th - 8th grades):

$100.00

Quantity:

Item Subtotal:

$0.00

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

Edwards County High School

Book Rental

ECHS: Grades 9-12:

$70.00

Quantity:

Item Subtotal:

$0.00

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

ECHS: Technology (Grades 9-12):

$20.00

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]

*Rental of Chromebook Only

ECHS: Technology (Grades 9-12):

$40.00

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]

*Payment towards purchase of Chromebook

Drivers Education

ECHS: Drivers Education:

$100.00

Quantity:

Item Subtotal:

$0.00

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

Athletic Participation

If you are registering 3 or under use Athletic Participation.
If you are registering 4 or more use Athletic Family Plan.
The maximum costs per family is $300.00

ECHS: Athletic Participation: (9th - 12th grades):

$100.00

Quantity:

Item Subtotal:

$0.00

Other Fees

Industrial Arts Fee:

$20.00

Quantity:

Item Subtotal:

$0.00

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

FCC Automotive Technology ($120 Per Semester):

$240.00

Quantity:

Item Subtotal:

$0.00

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

*If a student does not continue with the Frontier class, fees for the second semester will be refunded in January.

Athletic Family Plan

If you are registering 3 or under use Athletic Participation.
If you are registering 4 or more use Athletic Family Plan.
The maximum costs per family is $300.00

Athletic Family Plan (Over Three Partipants):

$300.00

Select:

Item Subtotal:

$0.00

Number of Family Members Participating:

Quantity:

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

Tuition Charge

1st Semester Tuition Charge (per student):

$3,978.48

Quantity:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's Grade	[1]
School Location		[1]
Student's First and Last Name	[2]
Student's Grade	[2]
School Location		[2]
Student's First and Last Name	[3]
Student's Grade	[3]
School Location		[3]

2nd Semester Tuition Charge (per student):

$3,978.48

Quantity:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's Grade	[1]
School Location		[1]
Student's First and Last Name	[2]
Student's Grade	[2]
School Location		[2]
Student's First and Last Name	[3]
Student's Grade	[3]
School Location		[3]

Total:

$0.00

Payee's Information

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

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.55 ($1.55 min) (4.5% for foreign cards)
eCheck (ACH):	$0.55

Method of Payment:
Update Name from Personal/Organizational Information

Name on Account:
Routing Number:
Account Number:
Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

Change Payment Method

PLEASE NOTE: Money can be added to a student's breakfast/lunch account by clicking on
Lunch Program found in the Quick Links area at www.edwardscountyschools.org.

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT

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