Wasatch Charter School
             
 
Kindergarten - Supply Fee:   $65.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 1 - Supply Fee:   $110.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 2 - Supply Fee:   $110.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]

Student's First and Last Name

[3]

Student's First and Last Name

[4]

Student's First and Last Name

[5]

Student's First and Last Name

[6]

Student's First and Last Name

[7]

Student's First and Last Name

[8]

Student's First and Last Name

[9]

Student's First and Last Name

[10]
Grade 3 - Supply Fee:   $110.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 4 - Supply Fees:   $95.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 5 - Supply Fees:   $95.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 6 - Supply Fee:   $95.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 7 - Supply Fee:   $95.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
Grade 8 - Supply Fee:   $95.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name

[2]
 
Total:
$0.00

If you are unable to contribute for school supplies,
the items will still be supplied by the school for you student.
 
Parent/Guardian Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Parent/Guardian 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:
Credit Card Number:
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 Information
Cardholder's Name:
Billing ZIP/Postal Code:

Please be aware that payments will reflect on your statement as 

Schools 800-764-0844 Clinton UT


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