Wayne Middle School
Wayne Middle School
2021-2022 Registration
Fees are due to the school office at the time of student registration or no later than October 1st.
Art, Band, & Life Activities are elective courses. Fees apply only if students are registered for classes.
Student Name & IDLastname,Firstname-ID#
Art:   $10.00   Select:   Item Subtotal:  
Band:   $30.00   Select:   Item Subtotal:  
iPad/Tech:   $10.00   Select:   Item Subtotal:  
CCA:   $15.00   Select:   Item Subtotal:  
CTE Classes:   $15.00   Select:   Item Subtotal:  


PE Jersey (optional):   $10.00   Select:   Item Subtotal:  
Bowling*:   $10.00   Select:   Item Subtotal:  
Ski Trip*:   $35.00   Select:   Item Subtotal:  
Lagoon* (8th Grade Only):   $30.00   Select:   Item Subtotal:  
Miscellaneous:   $   Item Subtotal:  
Miscellaneous - please specify what it is for
*Fundraising opportunities are available, these activities are optional to students.
Parent/Guardian Information
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Payment Information:
Processing Fee Rates:
Cards:3% plus $0.50 ($1.50 min)
(1.5% surcharge for foreign cards)
Method of Payment:
 Update Name from Personal/Organizational Information
Name on Account:
Routing Number:
Account Number:
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*WAYNE SCHOOL DIST’ and the service fee transaction as ‘CBT*SVC FEE WAYNE SD’

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