Athlos Academy of Utah
             
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

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Students Teacher [6]

Students Full Name

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Students Teacher [7]

Students Full Name

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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

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Students Teacher [6]

Students Full Name

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Students Teacher [7]

Students Full Name

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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

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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

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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:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
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