Hawthorn Academy South Jordan

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Club and Sports Fees
Students may not participate in programs without a completed parent permission form, payment does not qualify as completion of said parent permission form. Watch your email for the weekly Hawthorn Academy Newsletter for details when programs are open for registration.

Student's Full Name

Clubs

Art Club:

$15.00

Quantity:

Item Subtotal:

$0.00

Choir/Music Club:

$15.00

Quantity:

Item Subtotal:

$0.00

Total:

$0.00

Parent/Guardian Info

First Name:		Last Name:
Phone:
Email:

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (1.5% surcharge for foreign cards)
eCheck:	$0.50

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*HAWTHORN ACADEMY’ and the service fee transaction as ‘CBT*SVC FEE HAWTHORN’

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