Greenwood Charter Fees and Donations

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Student Fees

Parent/Guardian Full Name

Upper Grove General Fees

Instructional Supplies:

$30.00

Quantity:

Item Subtotal:

$0.00

Activity Fee:

$10.00

Quantity:

Item Subtotal:

$0.00

Technology:

$5.00

Quantity:

Item Subtotal:

$0.00

-Computer Fee is defined on 1:1 Computer Form

Adventure (Opening Activity):

$15.00

Quantity:

Item Subtotal:

$0.00

Upper Grove Student Choice-Electives

Nature Journaling:

$5.00

Quantity:

Item Subtotal:

$0.00

Graphic Design:

$20.00

Quantity:

Item Subtotal:

$0.00

Advanced Drawing:

$10.00

Quantity:

Item Subtotal:

$0.00

Cooking:

$10.00

Quantity:

Item Subtotal:

$0.00

Community Improvement:

$10.00

Quantity:

Item Subtotal:

$0.00

Birds of Prey:

$5.00

Quantity:

Item Subtotal:

$0.00

Music Concepts:

$15.00

Quantity:

Item Subtotal:

$0.00

Heath & Wellness:

$10.00

Quantity:

Item Subtotal:

$0.00

Landscape Design:

$10.00

Quantity:

Item Subtotal:

$0.00

Upper Grove Student Choice-Intensives

2022-2023 UG Spring Intensives will be $125.00. You can pay entire amount, make payments, etc. Please contact info@greenwoodcharter.org with questions.

2022-2023 Upper Grove Spring Intensive:

Item Subtotal:

$0.00

Rock Climbing Winter Intensive:

$60.00

Quantity:

Item Subtotal:

$0.00

Winter Survival Intensive:

$10.00

Quantity:

Item Subtotal:

$0.00

Winter Extreme Sports Intensive:

$90.00

Quantity:

Item Subtotal:

$0.00

Social Art Justice Winter Intensive:

$10.00

Quantity:

Item Subtotal:

$0.00

K - 8 Student Fees

K - 8 Chromebook Replacement:

$250.00

Quantity:

Item Subtotal:

$0.00

Library Book Replacement:

Item Subtotal:

$0.00

Name of the Book(s)

GreenWood Student Product
4th Grade Frog Postcards (10 pack):	$10.00	Quantity:	Item Subtotal:	$0.00
Kindergarten Tree Stickers (6 stickers):	$5.00	Quantity:	Item Subtotal:	$0.00
Mindful Nature Haikus:	$1.00	Quantity:	Item Subtotal:	$0.00

Current School Year Merchandise

Super Power Adult size t-shirt:

$10.00

Quantity:

Item Subtotal:

$0.00

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Super Power Child Size Trees T-Shirt:

$8.00

Quantity:

Item Subtotal:

$0.00

Size				[1]
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I heart GreenWood T-Shirt:

$4.00

Quantity:

Item Subtotal:

$0.00

Size				[1]
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I heart Greenwood Sticker:

$1.00

Quantity:

Item Subtotal:

$0.00

GreenWood Reusable Bag:

$2.00

Quantity:

Item Subtotal:

$0.00

How Not to Die Book - Dr McGregor:

$18.00

Quantity:

Item Subtotal:

$0.00

GreenWood Steel Water Bottle:

$15.00

Quantity:

Item Subtotal:

$0.00

Past School Year Merchandise

Past Year's T-Shirt:

$4.00

Quantity:

Item Subtotal:

$0.00

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Previous Year Sweatshirt:

$10.00

Quantity:

Item Subtotal:

$0.00

Size				[1]
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Previous Year Hat:

$8.00

Quantity:

Item Subtotal:

$0.00

Misc Merchandise:

Item Subtotal:

$0.00

Misc Item Description

Total:

$0.00

NOTES:

Any mandatory payment for student participation in a school sponsored course or activity is a fee and is subject to the fee waiver eligibility.
Donations are permissible but must clearly state that donations are voluntary. A student may not be excluded from a regular school activity or program because they did not make a donation.
All students are responsible to pay for loss, breakage, or damage they cause to school property. Loss, breakage, or damage is not subject to the waiver requirement.

Personal 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)

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:

Change Payment Method

Your statement will describe your payment as CBT*GREENWOOD CHARTER and the service fee transaction as CBT*SVC FEE GREENWOOD

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