Real Academy High School - Student #1
School Fees:
$
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]
Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explanation of Donation
[1]
Student's First and Last Name
[2]
Explanation of Donation
[2]
Student's First and Last Name
[3]
Explanation of Donation
[3]
Student's First and Last Name
[4]
Explanation of Donation
[4]
Student's First and Last Name
[5]
Explanation of Donation
[5]
Student's First and Last Name
[6]
Explanation of Donation
[6]
Student's First and Last Name
[7]
Explanation of Donation
[7]
Student's First and Last Name
[8]
Explanation of Donation
[8]
Student's First and Last Name
[9]
Explanation of Donation
[9]
Student's First and Last Name
[10]
Explanation of Donation
[10]
Extra Curricular Dues:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Description of Extra Curricular Event
[1]
Student's First and Last Name
[2]
Description of Extra Curricular Event
[2]
Student's First and Last Name
[3]
Description of Extra Curricular Event
[3]
Student's First and Last Name
[4]
Description of Extra Curricular Event
[4]
Student's First and Last Name
[5]
Description of Extra Curricular Event
[5]
Student's First and Last Name
[6]
Description of Extra Curricular Event
[6]
Student's First and Last Name
[7]
Description of Extra Curricular Event
[7]
Student's First and Last Name
[8]
Description of Extra Curricular Event
[8]
Student's First and Last Name
[9]
Description of Extra Curricular Event
[9]
Student's First and Last Name
[10]
Description of Extra Curricular Event
[10]
Fines:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explanation
[1]
Student's First and Last Name
[2]
Explanation
[2]
Student's First and Last Name
[3]
Explanation
[3]
Student's First and Last Name
[4]
Explanation
[4]
Student's First and Last Name
[5]
Explanation
[5]
Student's First and Last Name
[6]
Explanation
[6]
Student's First and Last Name
[7]
Explanation
[7]
Student's First and Last Name
[8]
Explanation
[8]
Student's First and Last Name
[9]
Explanation
[9]
Student's First and Last Name
[10]
Explanation
[10]
Other:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explantion
[1]
Student's First and Last Name
[2]
Explantion
[2]
Student's First and Last Name
[3]
Explantion
[3]
Student's First and Last Name
[4]
Explantion
[4]
Student's First and Last Name
[5]
Explantion
[5]
Student's First and Last Name
[6]
Explantion
[6]
Student's First and Last Name
[7]
Explantion
[7]
Student's First and Last Name
[8]
Explantion
[8]
Student's First and Last Name
[9]
Explantion
[9]
Student's First and Last Name
[10]
Explantion
[10]
Real Academy High School - Student #2
School Fees:
$
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]
Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explanation of Donation
[1]
Student's First and Last Name
[2]
Explanation of Donation
[2]
Student's First and Last Name
[3]
Explanation of Donation
[3]
Student's First and Last Name
[4]
Explanation of Donation
[4]
Student's First and Last Name
[5]
Explanation of Donation
[5]
Student's First and Last Name
[6]
Explanation of Donation
[6]
Student's First and Last Name
[7]
Explanation of Donation
[7]
Student's First and Last Name
[8]
Explanation of Donation
[8]
Student's First and Last Name
[9]
Explanation of Donation
[9]
Student's First and Last Name
[10]
Explanation of Donation
[10]
Extra Curricular Dues:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Description of Extra Curricular Event
[1]
Student's First and Last Name
[2]
Description of Extra Curricular Event
[2]
Student's First and Last Name
[3]
Description of Extra Curricular Event
[3]
Student's First and Last Name
[4]
Description of Extra Curricular Event
[4]
Student's First and Last Name
[5]
Description of Extra Curricular Event
[5]
Student's First and Last Name
[6]
Description of Extra Curricular Event
[6]
Student's First and Last Name
[7]
Description of Extra Curricular Event
[7]
Student's First and Last Name
[8]
Description of Extra Curricular Event
[8]
Student's First and Last Name
[9]
Description of Extra Curricular Event
[9]
Student's First and Last Name
[10]
Description of Extra Curricular Event
[10]
Fines:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explanation
[1]
Student's First and Last Name
[2]
Explanation
[2]
Student's First and Last Name
[3]
Explanation
[3]
Student's First and Last Name
[4]
Explanation
[4]
Student's First and Last Name
[5]
Explanation
[5]
Student's First and Last Name
[6]
Explanation
[6]
Student's First and Last Name
[7]
Explanation
[7]
Student's First and Last Name
[8]
Explanation
[8]
Student's First and Last Name
[9]
Explanation
[9]
Student's First and Last Name
[10]
Explanation
[10]
Other:
$
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Explanation
[1]
Student's First and Last Name
[2]
Explanation
[2]
Student's First and Last Name
[3]
Explanation
[3]
Student's First and Last Name
[4]
Explanation
[4]
Student's First and Last Name
[5]
Explanation
[5]
Student's First and Last Name
[6]
Explanation
[6]
Student's First and Last Name
[7]
Explanation
[7]
Student's First and Last Name
[8]
Explanation
[8]
Student's First and Last Name
[9]
Explanation
[9]
Student's First and Last Name
[10]
Explanation
[10]
Total:
$0.00
Parent/Guardian Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Payment Information
Method of Payment:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
Processing Fees:
Credit cards:
3% plus $0.50 ($1.50 min)
(4.50% 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:
Confirm Account Number:
Credit Card Number:
Expiration Date:
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
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
Submitting ...
Cancel
SIP
Program & Data © 2006-2019
Instant Payments
All rights reserved.
~
Terms & Conditions
~
Privacy Policy
~
Contact Us
~
SIP Version 3.01.10179; (API: 2.16)
.png "The Visa Global Registry of Service Providers (the Registry), located at (www.visa.com/onthelist) acknowledges this service provider has shown their commitment to security by meeting the requirements of the PCI Standard.")
