Summit Academy High School -EV
             
Summit High School Registration and Fees
 
Students Full Name
 
Student Fees
Registration:   $115.00   Select:   Item Subtotal:  
$0.00
Parking Permit:   $15.00   Select:   Item Subtotal:  
$0.00
Parking Violation:   $15.00   Select:   Item Subtotal:  
$0.00
Schedule Change:   $5.00   Select:   Item Subtotal:  
$0.00
Calculator Rental:   $25.00   Select:   Item Subtotal:  
$0.00
Yearbook:   $50.00   Select:   Item Subtotal:  
$0.00
 
Course Fees
Science (Lab Fee):   $20.00   Select:   Item Subtotal:  
$0.00
Choir/Band/Guitar/Music:   $25.00   Select:   Item Subtotal:  
$0.00
Class
Art/Ceramics/Sculpture:   $25.00   Select:   Item Subtotal:  
$0.00
Class
Digital Photograph/Graphic Design:   $25.00   Select:   Item Subtotal:  
$0.00
Class
Dance:   $70.00   Select:   Item Subtotal:  
$0.00
Math (Materials Fee):   $20.00   Select:   Item Subtotal:  
$0.00
Miscellaneous Fees:   $   Item Subtotal:  
$0.00
Please describe other fees you are paying for. [1]

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[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
Miscellaneous Fees :   $   Item Subtotal:  
$0.00
 
Total:
$0.00

Parent/Guardian Information
First Name: Last Name:
Phone: Email:
Payment Information
Method of Payment:
Convenience Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.5% convenience for foreign cards)
eChecks: $0.50
Update name from Parent/Guardian 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: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Parent/Guardian Information
Cardholder's Name:
Billing ZIP/Postal Code:

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT

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