City Academy - Misc Fees
             
School Year 2018 - 2019
Please call 801-596-8489 if you have any questions.

Welcome to City Academy!

Returning Students: Please complete the following five sections below which includes the required Aspire link where you will be asked to update demographic and contact information.

New Students: Please complete all six sections on this page which includes the required Aspire Link.

All students must go to the Aspire link below to complete your registration!

 
1. Student's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
 

2. Health/Medical Concerns

Please describe any health or medical (including emotional/mental) concerns the student has, or any 504 plan information of which City Academy should be aware.
Medical Concerns
 

3. Medical Consent Agreement

In the event of medical emergency, when parent or guardian cannot be reached or in life threatening situations, I authorize City Academy to obtain emergency medical care (i.e., physician, dentist, paramedic, or other authorized emergency medical agents) and to obtain and provide emergency transportation. I understand that I or my insurance, if applicable, will be billed for such emergency medical treatment.
         I agree to the above Medical Consent Agreement
 
 

4. Mandatory Fees

 
Check here if you expect to qualify for free meals/fee waiver. Mandatory fees are waived if you qualify. Application form will be available in August.
         Fee Waiver
Partial Payment of Required Fees $195.00 is due now
The balance, along with any class fees will be due in August.
 
Partial Payment of Mandatory Fees:   $195.00   Select:   Item Subtotal:  
$0.00
Mandatory Fees include the following: Activity Fee, instructional & laboratory materials, texts, technology, software, equipment licenses, and transportation fee 
 
Optional
Parent Student Organization (PSO) Donation:   $5.00   Select:   Item Subtotal:  
$0.00
Donation to City Academy:   $   Item Subtotal:  
$0.00
Total:
$0.00
Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50
                    (+1.5% processing fee for foreign cards)
eChecks: $0.50
Update name from 1. Student's 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:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from 1. Student's Information
Cardholder's Name:
Billing ZIP/Postal Code:


5. Aspire Link

Complete registration by updating demographic and contact information by clicking here: Aspire Link

6. NEW STUDENTS ONLY - Finalizing Your Registration

Your registration will be complete after you do the following 4 items:
  1. Call to schedule and attend a meeting with our school director (801)596-8489
  2. Submit the following items to the school office:
  • Birth Certificate
  • Immunization Record
  • Transcript or most recent report card
  • IEP/504/ESL (if applicable)
3. Complete and submit to the school office either by mail, hand delivery, email:office@cityacademyslc.org or FAX (801) 521-4181 the following:
4. Provide demographic and contact information by clicking on this Aspire link: Aspire Link
Once in Aspire, click on the "Have a new student?" tab on the right hand side of the page. When you have completed the form, you will be asked if you want to open an account on Aspire. We highly recommend that you do this at this time.


If you have any questions or problems, please call (801) 596-8489

We are looking forward to another great year at City Academy!


 
Use Instant Payments to accept payments for your business.
SIP Program & Data © 2006-2018 Instant Payments All rights reserved.
~ Terms & Conditions ~ Privacy Policy ~ Contact Us ~
SIP Version 2.18; API: 2.5
RSI Security Instant Payments, Payment Processing Service, Clinton, UT Get Help