Summit High School Registration and Fees
Students Full Name
Student Fees
Registration:
$115.00
Select:
Item Subtotal:
$0.00
Parking Permit:
$15.00
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Item Subtotal:
$0.00
Parking Violation:
$15.00
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Item Subtotal:
$0.00
Schedule Change:
$5.00
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Item Subtotal:
$0.00
Calculator Rental:
$25.00
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Item Subtotal:
$0.00
Yearbook:
$50.00
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Item Subtotal:
$0.00
Course Fees
Science (Lab Fee):
$20.00
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Item Subtotal:
$0.00
Choir/Band/Guitar/Music:
$25.00
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Item Subtotal:
$0.00
Class
Choir
Band
Guitar
Music
Art/Ceramics/Sculpture:
$25.00
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Item Subtotal:
$0.00
Class
Art
Ceramics
Scuplture
Digital Photograph/Graphic Design:
$25.00
Select:
Item Subtotal:
$0.00
Class
Digital Photography
Graphic Design
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]
Please describe other fees you are paying for.
[9]
Please describe other fees you are paying for.
[10]
Miscellaneous Fees :
$
Item Subtotal:
$0.00
Total:
$0.00
Parent/Guardian Information
First Name:
Last Name:
Phone:
Email:
Payment Information
Method of Payment:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
Processing Fees:
Credit cards:
3% plus $0.50 ($1.50 min)
(+1.5% processing fee 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:
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2018
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2022
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2037
Card ID (CVV2/CID) Number:
What is the Card ID?
Cardholder Information
(exactly as it appears on your statement)
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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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