Quest Academy

Other Club or Activity

Student's Name

Student's Grade

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Quest Academy Charter School

Student Last Name, First Name	Last Name	,	First Name
Student Last Name, First Name

Quest Academy Elementary/Jr High Fees

Replacement Badge:

$5.00

Select:

Item Subtotal:

$0.00

Library Fines:

Item Subtotal:

$0.00

Field Trips:

Item Subtotal:

$0.00

Please select the Student's Teacher.

Building Rental:

Item Subtotal:

$0.00

POQA:

Item Subtotal:

$0.00

Payment Reason

Donations - Class Supplies:

Item Subtotal:

$0.00

Student's Full Name
Teacher's Name

Dress Down Days (6 months):

$6.00

Quantity:

Item Subtotal:

$0.00

Student's Full Name	[1]
Student's Grade	[1]
Teacher's Name	[1]
Student's Full Name	[2]
Student's Grade	[2]
Teacher's Name	[2]
Student's Full Name	[3]
Student's Grade	[3]
Teacher's Name	[3]
Student's Full Name	[4]
Student's Grade	[4]
Teacher's Name	[4]
Student's Full Name	[5]
Student's Grade	[5]
Teacher's Name	[5]
Student's Full Name	[6]
Student's Grade	[6]
Teacher's Name	[6]
Student's Full Name	[7]
Student's Grade	[7]
Teacher's Name	[7]
Student's Full Name	[8]
Student's Grade	[8]
Teacher's Name	[8]
Student's Full Name	[9]
Student's Grade	[9]
Teacher's Name	[9]
Student's Full Name	[10]
Student's Grade	[10]
Teacher's Name	[10]

Other Donations and Fees:

Item Subtotal:

$0.00

Donation/Fee Description

Quest Academy Elementary

Registration Fees

Club Fees

Christmas Choir (Grades 3-5):

$25.00

Quantity:

Item Subtotal:

$0.00

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

Other Clubs and After School Activities:

Item Subtotal:

$0.00

Quest Academy Junior High

This does not include Extra Curricular Activities, Yearbooks, Dollar Dress Down Days, Personal Class Supplies, Field Trips or Apparel

Registration Fees

6th Grade Registration:

$120.00

Select:

Item Subtotal:

$0.00

7th Grade Registration:

$120.00

Select:

Item Subtotal:

$0.00

8th Grade Registration:

$120.00

Select:

Item Subtotal:

$0.00

9th Grade Registration:

$140.00

Select:

Item Subtotal:

$0.00

*Only pay if scheduled for this class.

Sports Fees

***Cross Country $30***

***Track $30***

***Volleyball - Soccer - Basketball - Flag Football $65***

***Cheerleading $750***

Sports Fee:

Item Subtotal:

$0.00

Name of Sport

**Please do not pay fee until the student has been selected for the team

Cross Country:

$30.00

Select:

Item Subtotal:

$0.00

Track:

$30.00

Select:

Item Subtotal:

$0.00

Club Fees

Drama Club:

$75.00

Select:

Item Subtotal:

$0.00

Student Council:

$300.00

Select:

Item Subtotal:

$0.00

National Jr Honor Society:

$15.00

Select:

Item Subtotal:

$0.00

Robotics:

$30.00

Select:

Item Subtotal:

$0.00

Cyber Patriots:

$30.00

Select:

Item Subtotal:

$0.00

ESports Club:

$30.00

Select:

Item Subtotal:

$0.00

J.H. Christmas Choir:

$15.00

Select:

Item Subtotal:

$0.00

Astro Club:

$30.00

Select:

Item Subtotal:

$0.00

Helping Africa:

$30.00

Select:

Item Subtotal:

$0.00

Other Clubs and After School Activities:

Item Subtotal:

$0.00

Total:

$0.00

Your statement will describe your payment as CBT*QUEST ACADEMY

and the service fee transaction as CBT*SVC FEE QUEST ACA

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (1.5% additional service fee for foreign cards)
eCheck:	$0.50

Method of Payment:	Credit/Debit Card eCheck
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