Athlos Academy Non-Meal Payment Portal
In the Quantity Box(s), please enter the number of Students.
Extended Day Kindergarten - Monthly Payment:
$275.00
Quantity:
Item Subtotal:
$0.00
Students Full Name
[1]
What month are you paying for?
[1]
Students Full Name
[2]
What month are you paying for?
[2]
Students Full Name
[3]
What month are you paying for?
[3]
Students Full Name
[4]
What month are you paying for?
[4]
Students Full Name
[5]
What month are you paying for?
[5]
Students Full Name
[6]
What month are you paying for?
[6]
Students Full Name
[7]
What month are you paying for?
[7]
Students Full Name
[8]
What month are you paying for?
[8]
Students Full Name
[9]
What month are you paying for?
[9]
Students Full Name
[10]
What month are you paying for?
[10]
Jog-A-Thon Student 1:
$
Item Subtotal:
$0.00
Students Full Name
[1]
Students Teacher
[1]
Students Full Name
[2]
Students Teacher
[2]
Students Full Name
[3]
Students Teacher
[3]
Students Full Name
[4]
Students Teacher
[4]
Students Full Name
[5]
Students Teacher
[5]
Students Full Name
[6]
Students Teacher
[6]
Students Full Name
[7]
Students Teacher
[7]
Students Full Name
[8]
Students Teacher
[8]
Students Full Name
[9]
Students Teacher
[9]
Students Full Name
[10]
Students Teacher
[10]
Jog-A-Thon Student 2:
$
Item Subtotal:
$0.00
Students Full Name
[1]
Students Teacher
[1]
Students Full Name
[2]
Students Teacher
[2]
Students Full Name
[3]
Students Teacher
[3]
Students Full Name
[4]
Students Teacher
[4]
Students Full Name
[5]
Students Teacher
[5]
Students Full Name
[6]
Students Teacher
[6]
Students Full Name
[7]
Students Teacher
[7]
Students Full Name
[8]
Students Teacher
[8]
Students Full Name
[9]
Students Teacher
[9]
Students Full Name
[10]
Students Teacher
[10]
Jog-A-Thon Student 3:
$
Item Subtotal:
$0.00
Students Full Name
[1]
Students Teacher
[1]
Students Full Name
[2]
Students Teacher
[2]
Students Full Name
[3]
Students Teacher
[3]
Students Full Name
[4]
Students Teacher
[4]
Students Full Name
[5]
Students Teacher
[5]
Students Full Name
[6]
Students Teacher
[6]
Students Full Name
[7]
Students Teacher
[7]
Students Full Name
[8]
Students Teacher
[8]
Students Full Name
[9]
Students Teacher
[9]
Students Full Name
[10]
Students Teacher
[10]
Boys Basketball:
$190.00
Quantity:
Item Subtotal:
$0.00
Students Full Name
[1]
Students Full Name
[2]
Students Full Name
[3]
Students Full Name
[4]
Students Full Name
[5]
Students Full Name
[6]
Students Full Name
[7]
Students Full Name
[8]
Students Full Name
[9]
Students Full Name
[10]
Girls Basketball:
$210.00
Quantity:
Item Subtotal:
$0.00
Students Full Name
[1]
Students Full Name
[2]
Students Full Name
[3]
Students Full Name
[4]
Students Full Name
[5]
Students Full Name
[6]
Students Full Name
[7]
Students Full Name
[8]
Students Full Name
[9]
Students Full Name
[10]
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:
2.9% plus $0.30
eCheck (ACH):
$0.49
Name on Account:
Routing Number:
Account Number:
Institution:
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Expiration Date:
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