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Student Name
Lastname
,
Firstname
-
ID#
Lunch Fees
Reduced Lunch Monthly*:
$8.00
Select:
Item Subtotal:
$0.00
Reduced Lunch Yearly*:
$72.00
Select:
Item Subtotal:
$0.00
Regular Lunch Monthly:
$50.00
Select:
Item Subtotal:
$0.00
Regular Lunch Yearly:
$450.00
Select:
Item Subtotal:
$0.00
Other Lunch Amount:
$
Item Subtotal:
$0.00
*Applications for free or reduced lunch can be submitted online at
https://www.schoollunchapp.com
Grade 6
Writing Fee (Mandatory):
$6.00
Select:
Item Subtotal:
$0.00
Yearbook (Optional):
$20.00
Select:
Item Subtotal:
$0.00
Activity Fee (Optional):
$15.00
Select:
Item Subtotal:
$0.00
Grade 7
Writing Lab (Mandatory):
$6.00
Select:
Item Subtotal:
$0.00
CTE (Mandatory):
$6.00
Select:
Item Subtotal:
$0.00
Fitness (Mandatory):
$10.00
Select:
Item Subtotal:
$0.00
Art:
$15.00
Select:
Item Subtotal:
$0.00
Band:
$15.00
Select:
Item Subtotal:
$0.00
Chorus:
$5.00
Select:
Item Subtotal:
$0.00
Drama/Theatre:
$15.00
Select:
Item Subtotal:
$0.00
Orchestra:
$15.00
Select:
Item Subtotal:
$0.00
Activity Fee (Optional):
$15.00
Select:
Item Subtotal:
$0.00
Yearbook (Optional):
$20.00
Select:
Item Subtotal:
$0.00
Grade 8
Writing Lab (Mandatory):
$6.00
Select:
Item Subtotal:
$0.00
Fitness (Mandatory):
$10.00
Select:
Item Subtotal:
$0.00
Keyboarding (Mandatory):
$3.00
Select:
Item Subtotal:
$0.00
Art:
$15.00
Select:
Item Subtotal:
$0.00
Band:
$15.00
Select:
Item Subtotal:
$0.00
Chorus:
$5.00
Select:
Item Subtotal:
$0.00
Creative Coding/Robotics:
$10.00
Select:
Item Subtotal:
$0.00
Drama/Theatre:
$15.00
Select:
Item Subtotal:
$0.00
Exploring Technology:
$10.00
Select:
Item Subtotal:
$0.00
FACS:
$10.00
Select:
Item Subtotal:
$0.00
Orchestra:
$15.00
Select:
Item Subtotal:
$0.00
Activity Fee (Optional):
$15.00
Select:
Item Subtotal:
$0.00
Yearbook (Optional):
$20.00
Select:
Item Subtotal:
$0.00
Total:
$0.00
Parent/Guardian Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
(4.5% for foreign cards)
eCheck (ACH):
$0.49
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
Be Aware
that this payment will be posted to the Delta Middle School. If your student is not attending the Delta Middle School, do not pay on this payment page as it will delay your funds being posted to your account. Please use one of the other payment links listed below.
Payment links for other Millard County Schools
Delta South Elementary
Delta North Elementary
Delta High School
I Understand
This payment will be posted to Delta Middle School.
Please be aware that payments will reflect on your statement as
Schools 800-764-0844 Clinton UT
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