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2023-2024 Jefferson Parish
After Care:
$60.00
Quantity:
Item Subtotal:
$0.00
Student's Full Name
[1]
Student's Full Name
[2]
Student's Full Name
[3]
Student's Full Name
[4]
Student's Full Name
[5]
Student's Full Name
[6]
Student's Full Name
[7]
Student's Full Name
[8]
Student's Full Name
[9]
Student's Full Name
[10]
Before Care:
$60.00
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]
Before and After Care Fee:
$75.00
Quantity:
Item Subtotal:
$0.00
Student's Full Name
[1]
Student's Full Name
[2]
Student's Full Name
[3]
Student's Full Name
[4]
Student's Full Name
[5]
Student's Full Name
[6]
Student's Full Name
[7]
Student's Full Name
[8]
Student's Full Name
[9]
Student's Full Name
[10]
Before or After Care Drop In Fee $20/per day:
$
Minimum:
$0.00
Item Subtotal:
$0.00
Student's Full Name
Staff Meals:
$
Item Subtotal:
$0.00
Staff Member Name
2023-2024 Yearbook:
$35.00
Quantity:
Item Subtotal:
$0.00
Student's First and Last Name
Total:
$0.00
Contact 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)
Method of Payment:
Credit/Debit Card
Update Name from Above
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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