Delta South Elementary School
Delta South Elementary School
Student NameLastname,Firstname-ID#
Reduced Lunch Monthly:   $8.00   Select:   Item Subtotal:  
Reduced Lunch Yearly:   $72.00   Select:   Item Subtotal:  
Lunch Payment Monthly:   $45.00   Select:   Item Subtotal:  
Lunch Payment Yearly:   $405.00   Select:   Item Subtotal:  
Other Lunch Amount:   $   Item Subtotal:  
*All applications for free or reduced lunch must be submitted online at for processing.
Preschool Fees:   $   Item Subtotal:  

Parent's Information
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Parent's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Parent's Information
Cardholder's Name:
Billing Street:
Billing ZIP/Postal Code:

Be Aware that this payment will be posted to the Delta South Elementary School. If your student is not attending the Delta South Elementary, do not pay on this payment page as it will delay your funds being posted to your account. Please use one of the other payment links listed below.

Payment Link for other Millard County

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This payment will be posted to Delta South Elementary School

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT

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