American Preparatory Academy Las Vegas
             

2018-2019
Student Fees

Family Name

Uniform Items

 
Replacement Name Tag (includes magnet):   $7.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
PE Shirt:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

Student Name

[9]

Student Name

[10]
PE Shorts:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
PE Sweatpants:   $15.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
Secondary Tie:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
Cap & Gown (rental):   $25.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

Student Name

[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
Cap & Gown (purchase):   $50.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 

Elementary Items

 
Replacement Docket with Folders:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Replacement Docket without Folders:   $7.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

Student Name

[5]

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[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Replacement Folders without Docket:   $3.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

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[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
6th Grade Band Book:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 

Secondary Items

 
Replacement Agenda (Student Planner):   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Replacement Lock:   $5.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
National Latin Exam:   $6.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Calculator Rental:   $20.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 

Secondary Class Fees

 
Ballroom Dance 1:   $30.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
Ballroom Dance 2:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

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[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Band:   $20.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Band Uniform:   $30.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

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[7]

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[8]

Student Name

[9]

Student Name

[10]
Band Instrument Rental
(by teacher approval):
 
$80.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

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[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Choir Girls' Dress Purchase:   $70.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Choir Girls' Dress Rental:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Choir Boys' Uniform Purchase:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Orchestra Girls' Dress Purchase:   $70.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Orchestra Girls' Dress Rental:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Orchestra Boys' Uniform Purchase:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

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[8]

Student Name

[9]

Student Name

[10]
Guitar:   $20.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

Student Name

[5]

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[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Guitar Uniform Purchase:   $65.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

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[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Guitar Uniform Rental:   $40.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
Mock Trial:   $25.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

Student Name

[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
Musical Theater:   $100.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
Personal Wellness & Fitness:   $20.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

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[6]

Student Name

[7]

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[8]

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[9]

Student Name

[10]
Production & Intro to Film:   $75.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

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[6]

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[7]

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[8]

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[9]

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[10]
Speech & Debate (MS & HS Class):   $100.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

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[3]

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[4]

Student Name

[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
Drama Class:   $30.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

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[2]

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[3]

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[4]

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[5]

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[6]

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[7]

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[8]

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[9]

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[10]
Yearbook:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

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[2]

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[3]

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[4]

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[5]

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[6]

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[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 

Field Trips

1st Grade FT | Seaquest:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

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[8]

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[9]

Student Name

[10]
2nd Grade FT | Springs Preserve:   $5.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

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[6]

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[7]

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[8]

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[9]

Student Name

[10]
3rd Grade FT | Red Rock Bowling:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

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[4]

Student Name

[5]

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[6]

Student Name

[7]

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[8]

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[9]

Student Name

[10]
4th Grade FT | Smith's Center:   $5.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
5th Grade FT | Fall & Springfield:   $15.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
6th Grade FT | UNLV Transportation:   $3.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(deposit) Music in the Park:   $50.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(1st payment) Music in the Park:   $125.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(2nd payment) Music in the Park:   $125.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(3rd payment) Music in the Park:   $125.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(4th payment) Music in the Park:   $125.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(deposit) Universal Heritage:   $55.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(1st Payment) Universal Heritage:   $135.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(2nd Payment) Universal Heritage:   $135.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(3rd Payment) Universal Heritage:   $135.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
(4th Payment) Universal Heritage:   $135.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 

Total:
$0.00
 
Personal Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Update name from Personal 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:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Personal Information
Cardholder's Name:
Billing ZIP/Postal Code:
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