Roosevelt Junior High School
             
Roosevelt Junior High School Registration and Fees

Student Name and IDLastname,Firstname-ID#
 
Yearbook (Optional)
Yearbook (Optional):   $40.00   Select:   Item Subtotal:  
$0.00
 
7th Grade Fees
7th Grade Activities/Locker/Books (Required):   $75.00   Select:   Item Subtotal:  
$0.00

8th Grade Fees
8th Grade Activities/Locker/Books (Required):   $75.00   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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