Wayne High School
             
Registration 2021-2022

Student Name & IDLastname,Firstname-ID#
 
Registration & Courses
Student Activities:   $15.00   Select:   Item Subtotal:  
$0.00
iPad/Tech Fee:   $10.00   Select:   Item Subtotal:  
$0.00
Automotive:   $20.00   Quantity:   Item Subtotal:  
$0.00
Construction & Woods:   $10.00   Quantity:   Item Subtotal:  
$0.00
Drivers Ed/Driving:   $75.00   Select:   Item Subtotal:  
$0.00
Vo-ag:   $20.00   Quantity:   Item Subtotal:  
$0.00
Foods & Nutrition/Culinary Arts:   $15.00   Quantity:   Item Subtotal:  
$0.00
College Welding:   $50.00   Select:   Item Subtotal:  
$0.00
Emergency Medical Technician (EMT):   $   Item Subtotal:  
$0.00
EMT Fees: $30 required class fee includes T-shirt.
Optional Fees: $50 CPR Cert, $115 BEMS State License, $80 NREMT Natl License, $45 College Credit

Course related, other

Group/Club T-shirts (max $20 per):   $   Item Subtotal:  
$0.00
Band - instrument rental and insurance /semester:   $30.00   Select:   Item Subtotal:  
$0.00
Band - Snow College (max $25):   $   Item Subtotal:  
$0.00
Band or Choir - uniform (max $110):   $   Item Subtotal:  
$0.00
Speech and debate - motel (max $100):   $   Item Subtotal:  
$0.00
 
Sports & Activities
Baseball - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Baseball - motel (max $150):   $   Item Subtotal:  
$0.00
Baseball - uniform (max $150):   $   Item Subtotal:  
$0.00
 
Boys Basketball - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Boys Basketball - motel (max $100):   $   Item Subtotal:  
$0.00
Boys Basketball - uniform (max $150):   $   Item Subtotal:  
$0.00
 
Girls Basketball - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Girls basketball - motel (max $100):   $   Item Subtotal:  
$0.00
Girls basketball - uniform (max $75):   $   Item Subtotal:  
$0.00
 
Cross Country - pay to play:   $40.00   Select:   Item Subtotal:  
$0.00
Cross Country - motel (max $100):   $   Item Subtotal:  
$0.00
 
Golf - Pay to Play:   $100.00   Select:   Item Subtotal:  
$0.00
Golf - Uniform (max $50):   $   Item Subtotal:  
$0.00
Golf - Motels (max $100):   $   Item Subtotal:  
$0.00
Golf - State Tournament (Max $100):   $   Item Subtotal:  
$0.00
 
Softball - Pay to Play:   $100.00   Select:   Item Subtotal:  
$0.00
Softball - Uniform (max $150):   $   Item Subtotal:  
$0.00
Softball - Motels (max $100):      
 
Track - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Track - motel (max $250):   $   Item Subtotal:  
$0.00
Track - uniform (max $75):   $   Item Subtotal:  
$0.00
 
Volleyball - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Volleyball - motel (max $150):   $   Item Subtotal:  
$0.00
Volleyball - uniform (max $50):   $   Item Subtotal:  
$0.00
 
Wrestling - pay to play:   $100.00   Select:   Item Subtotal:  
$0.00
Wrestling - motel (max $200):   $   Item Subtotal:  
$0.00
Wrestling - uniform (max $75):   $   Item Subtotal:  
$0.00
 
Cheerleaders - uniform (max $600):   $   Item Subtotal:  
$0.00
Cheerleaders - motel (max $150):   $   Item Subtotal:  
$0.00
Cheerleaders - summer camp (max $500):   $   Item Subtotal:  
$0.00
 
Clubs
Many club fees and activities are for qualifying members only, please see advisors for more information
FCCLA - club affiliation fee:   $20.00   Select:   Item Subtotal:  
$0.00
FCCLA - fall leadership entry fee:   $50.00   Select:   Item Subtotal:  
$0.00
FCCLA - fall leadership motel:   $50.00   Select:   Item Subtotal:  
$0.00
FCCLA - region conference entry fee (max $150):   $   Item Subtotal:  
$0.00
FCCLA - region conference motel:   $50.00   Select:   Item Subtotal:  
$0.00
FCCLA - state conference entry fee (max $150):   $   Item Subtotal:  
$0.00
FCCLA - state conference motel (two nights):   $100.00   Select:   Item Subtotal:  
$0.00
FCCLA - national convention (max $2,000):   $   Item Subtotal:  
$0.00
FCCLA - cluster or national leadership:   $1,500.00   Select:   Item Subtotal:  
$0.00
 
FFA - club affiliation fee:   $30.00   Select:   Item Subtotal:  
$0.00
FFA - donkey basketball:   $20.00   Select:   Item Subtotal:  
$0.00
FFA - vet camp (max $200):   $   Item Subtotal:  
$0.00
FFA - range camp (max $200):   $   Item Subtotal:  
$0.00
FFA - leadership river rafting:   $60.00   Select:   Item Subtotal:  
$0.00
FFA - leadership COLT (max $75):   $   Item Subtotal:  
$0.00
FFA - leadership ULC (max $75):   $   Item Subtotal:  
$0.00
FFA - state judging:   $100.00   Select:   Item Subtotal:  
$0.00
FFA - state convention:   $100.00   Select:   Item Subtotal:  
$0.00
FFA - ag mechanics judging (max $75):   $   Item Subtotal:  
$0.00
FFA - vet science judging (max $75):   $   Item Subtotal:  
$0.00
FFA - national convention (max $1,000):   $   Item Subtotal:  
$0.00
FFA - official dress (max $125):   $   Item Subtotal:  
$0.00
 
HOSA - Club affiliation fee:   $20.00   Select:   Item Subtotal:  
$0.00
HOSA - conference registration (max $150):   $   Item Subtotal:  
$0.00
HOSA - motel (max $100):   $   Item Subtotal:  
$0.00
HOSA - food (max $100):   $   Item Subtotal:  
$0.00
 
Miscellaneous
Yearbook:   $35.00   Select:   Item Subtotal:  
$0.00
Student Government Jacket:   $125.00   Select:   Item Subtotal:  
$0.00
Graduation Cap & Gown:   $50.00   Select:   Item Subtotal:  
$0.00
Miscellaneous*:   $   Item Subtotal:  
$0.00
*Please give a description of what you are paying for
 
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:3% plus $0.50 ($1.50 min)
(1.5% surcharge for foreign cards)
eCheck:$0.49
Method of Payment:
 Update Name from Personal/Organizational Information
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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Your statement will describe your payment as

CBT*WAYNE SCHOOL DIST’ and the service fee transaction as ‘CBT*SVC FEE WAYNE SD’

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