Highmark Charter School Fees
             
Student's First Name and Last NameFirst Name Last Name
 
PTSO Family Donation:   $35.00   Select:   Item Subtotal:  
$0.00
7th Grade:   $150.00   Select:   Item Subtotal:  
$0.00
8th Grade:   $160.00   Select:   Item Subtotal:  
$0.00
9th Grade:   $180.00   Select:   Item Subtotal:  
$0.00
 
Athletics:   $   Item Subtotal:  
$0.00
Name of Sport [1]

Name of Sport

[2]

Name of Sport

[3]

Name of Sport

[4]

Name of Sport

[5]

Name of Sport

[6]

Name of Sport

[7]

Name of Sport

[8]

Name of Sport

[9]

Name of Sport

[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:
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: (Type number or swipe with cursor in this empty field)
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:
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