Canyon Grove - Misc
             
Students Full NameLast Name,First Name-Student #
 
In the Quantity Box, please enter the number of months you wish to pay.
Bus Fees and Kinder Fees are for onsite only.
Kinder Fees for full day only.

Bus Fee:   $25.00   Quantity:   Item Subtotal:  
$0.00
Which month are you paying? [1]

Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Kinder Fee:   $200.00   Quantity:   Item Subtotal:  
$0.00
Which month are you paying? [1]

Which month are you paying?

[2]

Which month are you paying?

[3]

Which month are you paying?

[4]

Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

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Which month are you paying?

[9]

Which month are you paying?

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Field Trips:   $   Item Subtotal:  
$0.00
Description [1]

Description

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Description

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Description

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Description

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Description

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Description

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Description

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Description

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Library Fee:   $   Item Subtotal:  
$0.00
Discovery Day T-Shirt:   $6.00   Quantity:   Item Subtotal:  
$0.00
Canyon Grove Sweatshirt:   $25.00   Quantity:   Item Subtotal:  
$0.00
Shirt Size [1]

Shirt Size

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Shirt Size

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Shirt Size

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Shirt Size

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Shirt Size

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Sweatshirt X-Large:   $26.00   Quantity:   Item Subtotal:  
$0.00
Sweatshirt 2X-Large:   $27.00   Quantity:   Item Subtotal:  
$0.00
Sweatshirt 3X-Large:   $28.00   Quantity:   Item Subtotal:  
$0.00
Extra Curricular Fee:   $   Item Subtotal:  
$0.00
Remaining Negative Account Balance from Compass:   $   Item Subtotal:  
$0.00
 
Total:
$0.00
Payer's Information
First Name: Last Name:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: $2.00
eChecks: Free
Update name from Payer'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:
Confirm 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 Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
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