Wasatch Charter School

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Student Name	Lastname	,	Firstname
Student Name

Registration Fees

Registration Fee:

$182.00

Select:

Item Subtotal:

$0.00

(Including registration, ETC, Science, Outdoor Education Excursions, and Handwork.)

Select One

Strings:

$25.00

Select:

Item Subtotal:

$0.00

Includes T-shirt uniform, binder & music.

Ukelele/Guitar:

$12.00

Select:

Item Subtotal:

$0.00

Includes binder & music.

Choir:

$25.00

Select:

Item Subtotal:

$0.00

Includes T-shirt uniform, binder & music.

Strings & Choir:

$25.00

Select:

Item Subtotal:

$0.00

For student enrolling in both Strings and Choir

Includes T-shirt uniform, binder & music.

Use of School Instrument:

$100.00

Select:

Item Subtotal:

$0.00

Middle School Registration fees are mandatory;

you may submit a Fee Waiver Application if you think you may be eligible.

Optional Fees: Middle School Athletics

Fall

Boys Cross Country:

$145.00

Select:

Item Subtotal:

$0.00

Girls Cross Country:

$145.00

Select:

Item Subtotal:

$0.00

Girls Volleyball:

$145.00

Select:

Item Subtotal:

$0.00

Boys Soccer:

$145.00

Select:

Item Subtotal:

$0.00

Winter

Boys Basketball:

$145.00

Select:

Item Subtotal:

$0.00

Girls Basketball:

$145.00

Select:

Item Subtotal:

$0.00

Coed Archery:

$145.00

Select:

Item Subtotal:

$0.00

Spring

Boys Volleyball:

$145.00

Select:

Item Subtotal:

$0.00

Girls Soccer:

$145.00

Select:

Item Subtotal:

$0.00

Girls Track and Field:

$145.00

Select:

Item Subtotal:

$0.00

Coed Ultimate Frisbee:

$145.00

Select:

Item Subtotal:

$0.00

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:	Credit/Debit Card eCheck
Update Name from Above

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*WASATCH CHARTER’ and the service fee transaction as ‘CBT*SVC FEE WASATCH C’

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