SIPlive: Quest Academy


Quest Academy Charter School

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

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.				[1]
Please select the Student's Teacher.				[2]
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Please select the Student's Teacher.				[8]
Please select the Student's Teacher.				[9]
Please select the Student's Teacher.				[10]

Other:

Item Subtotal:

$0.00

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Junior High Registration Fees

6th Grade Fees

6th Grade Registration:

$95.00

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Item Subtotal:

$0.00

7th Grade Fees

7th Grade Registration:

$110.00

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Item Subtotal:

$0.00

8th Grade Fees

8th Grade Registration:

$120.00

Select:

Item Subtotal:

$0.00

9th Grade Fees

9th Grade Registration:

$125.00

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Item Subtotal:

$0.00

*Online Elective Fee:

$35.00

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Item Subtotal:

$0.00

*Only pay if scheduled for this class.

Total:

$0.00

Parent/Guardian Info

First Name:		Last Name:
Phone:
Email:

Please be aware that Card Payments will be described as
"Schools 800-764-0844 Clinton UT" on your statement.

Payment Information

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (4.5% for foreign cards)
eCheck (ACH):	$0.50

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

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

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