Ascent Academy of Lehi Fees
Jr. High Registration Fees

Students Full Name
School Year
Required Fees
CTE, Health, or Computer Tech:   $25.00   Item Subtotal:  
Computer Equipment:   $10.00   Item Subtotal:  
Textbook Rental:   $25.00   Item Subtotal:  
Electives:   $40.00   Item Subtotal:  
Science:   $25.00   Item Subtotal:  
Field Trips:   $25.00   Item Subtotal:  
PE Uniform:   $20.00   Item Subtotal:  
Parent/Guardian Info
First Name: Last Name:
Payment Information
Method of Payment:
Update name from Parent/Guardian Info
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 Parent/Guardian Info
Cardholder's Name:
Billing ZIP/Postal Code:
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