Duchesne High School
             
Duchesne High School Registration and Fees

Student Name and IDLastname,Firstname-ID#
 
7th Grade Fees
7th Grade Activities/Locker/Books (Required):   $75.00   Select:   Item Subtotal:  
$0.00
7th Grade PE (Required):   $30.00   Select:   Item Subtotal:  
$0.00
Yearbook - 7th Grade:   $65.00   Select:   Item Subtotal:  
$0.00
Name on Yearbook - 7th Grade:   $7.00   Select:   Item Subtotal:  
$0.00
First and Last name as it should appear on your Yearbook
FCCLA:   $20.00   Select:   Item Subtotal:  
$0.00
FFA:   $20.00   Select:   Item Subtotal:  
$0.00

8th Grade Fees
8th Grade Activities/Locker/Book (Required):   $75.00   Select:   Item Subtotal:  
$0.00
8th Grade PE (Required):   $30.00   Select:   Item Subtotal:  
$0.00
Yearbook - 8th Grade:   $65.00   Select:   Item Subtotal:  
$0.00
Name on Yearbook - 8th Grade:   $7.00   Select:   Item Subtotal:  
$0.00
First and Last name as it should appear on your Yearbook
FCCLA:   $20.00   Select:   Item Subtotal:  
$0.00
FFA:   $20.00   Select:   Item Subtotal:  
$0.00

High School Fees
Activities/Locker/Book (Required):   $75.00   Select:   Item Subtotal:  
$0.00
Yearbook - High School:   $65.00   Select:   Item Subtotal:  
$0.00
Name on Yearbook - High School:   $7.00   Select:   Item Subtotal:  
$0.00
First and Last name as it should appear on your Yearbook

High School Class/Lab Fees
Accounting 1 and 2 (Per Class):   $30.00   Quantity:   Item Subtotal:  
$0.00
Ag Mechanics (Per Semester):   $25.00   Quantity:   Item Subtotal:  
$0.00
High School Art/Crafts (Per Semester):   $20.00   Quantity:   Item Subtotal:  
$0.00
High School Choir/Band (Per Class):   $40.00   Quantity:   Item Subtotal:  
$0.00
Driver's Education:   $180.00   Select:   Item Subtotal:  
$0.00
Family and Consumer Science (Per Class):   $30.00   Quantity:   Item Subtotal:  
$0.00
PE (Required for all PE classes, Per Semester):   $15.00   Quantity:   Item Subtotal:  
$0.00
Speech (Per Class):   $15.00   Quantity:   Item Subtotal:  
$0.00
Drama (Per Class):   $15.00   Quantity:   Item Subtotal:  
$0.00
School Play (Per Play):   $15.00   Quantity:   Item Subtotal:  
$0.00
Wood Shop (Per Semester):   $25.00   Quantity:   Item Subtotal:  
$0.00

High School Club Fees
FBLA:   $20.00   Select:   Item Subtotal:  
$0.00
FCCLA:   $20.00   Select:   Item Subtotal:  
$0.00
FFA:   $20.00   Select:   Item Subtotal:  
$0.00

Utah High School Activities Association*

(Sports fees are capped at $200 per family. Only check the boxes for sports equal to $200.

The school will distribute the funds to the sport that does not get checked.)

Baseball:   $40.00   Select:   Item Subtotal:  
$0.00
Boys Basketball:   $40.00   Select:   Item Subtotal:  
$0.00
Cheerleading (Plus Uniform):   $40.00   Select:   Item Subtotal:  
$0.00
Cross Country:   $40.00   Select:   Item Subtotal:  
$0.00
Drama:   $15.00   Select:   Item Subtotal:  
$0.00
Football:   $50.00   Select:   Item Subtotal:  
$0.00
Forensics:   $15.00   Select:   Item Subtotal:  
$0.00
Girls Basketball:   $40.00   Select:   Item Subtotal:  
$0.00
Girls Softball:   $40.00   Select:   Item Subtotal:  
$0.00
Girls Volleyball:   $40.00   Select:   Item Subtotal:  
$0.00
Golf:   $40.00   Select:   Item Subtotal:  
$0.00
Track:   $40.00   Select:   Item Subtotal:  
$0.00
Wrestling:   $40.00   Select:   Item Subtotal:  
$0.00
Volleyball:   $40.00   Select:   Item Subtotal:  
$0.00
 
Other
Other:   $   Item Subtotal:  
$0.00
Please describe the purpose of the additional payment.
 
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)
(1.5% surcharge for foreign cards)
eCheck:$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

Your statement will describe your payment as ‘CBT*DUCHESNE SCHOOLS’ and the service fee transaction as ‘CBT*SVC FEE DUCHESNE SD’

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