2017-18 Registration Fees
Student Name & ID
Lastname
,
Firstname
-
Power School #
*YEARBOOKS ARE SOLD OUT
6th Grade Fees
Instrument Rental fee must be paid in the office.
Payment will not be accepted without signed rental contract from teacher.
Text Fee (required):
$35.00
Select:
Item Subtotal:
$0.00
Activity Fee (required):
$15.00
Select:
Item Subtotal:
$0.00
Band Shirt:
$16.00
Select:
Item Subtotal:
$0.00
Orchestra Shirt:
$17.00
Select:
Item Subtotal:
$0.00
Art 6 Fee:
$15.00
Select:
Item Subtotal:
$0.00
Class Change (Must Be Approved):
$15.00
Select:
Item Subtotal:
$0.00
7th Grade Fees
Instrument Rental fee must be paid in the office.
Payment will not be accepted without signed rental contract from teacher.
Textbook Fee (required):
$35.00
Select:
Item Subtotal:
$0.00
Activity Fee (required):
$15.00
Select:
Item Subtotal:
$0.00
Art Fee (Art Foundations):
$15.00
Select:
Item Subtotal:
$0.00
CCA Fee (required):
$15.00
Select:
Item Subtotal:
$0.00
Musical Theatre Fee:
$10.00
Select:
Item Subtotal:
$0.00
Technology Fee:
$15.00
Select:
Item Subtotal:
$0.00
PE Shirt:
$5.00
Quantity:
Item Subtotal:
$0.00
Band Shirt:
$16.00
Select:
Item Subtotal:
$0.00
Orchestra Shirt:
$17.00
Select:
Item Subtotal:
$0.00
PE Lock:
$6.00
Select:
Item Subtotal:
$0.00
Honor Society Dues:
$8.00
Select:
Item Subtotal:
$0.00
Class Change (Must Be Approved):
$15.00
Select:
Item Subtotal:
$0.00
8th Grade Fees
Instrument Rental fee must be paid in the office.
Payment will not be accepted without signed rental contract from teacher.
Textbook Fee (required):
$35.00
Select:
Item Subtotal:
$0.00
Activity Fee (required):
$15.00
Select:
Item Subtotal:
$0.00
Art Foundations Fee:
$15.00
Select:
Item Subtotal:
$0.00
Visual Arts II Fee:
$15.00
Select:
Item Subtotal:
$0.00
Musical Theatre Fee:
$10.00
Select:
Item Subtotal:
$0.00
FACS Fee:
$15.00
Select:
Item Subtotal:
$0.00
Technology Fee:
$15.00
Select:
Item Subtotal:
$0.00
PE Shirt:
$5.00
Quantity:
Item Subtotal:
$0.00
Band Shirt:
$16.00
Select:
Item Subtotal:
$0.00
Orchestra Shirt:
$17.00
Select:
Item Subtotal:
$0.00
PE Lock:
$6.00
Select:
Item Subtotal:
$0.00
Honor Society Dues:
$8.00
Select:
Item Subtotal:
$0.00
Class Change (Must Be Approved):
$15.00
Select:
Item Subtotal:
$0.00
Unlisted Fee
Amount:
$
Item Subtotal:
$0.00
Provide a detailed description on the additional fee amount your are paying for.
[1]
Provide a detailed description on the additional fee amount your are paying for.
[2]
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[3]
Provide a detailed description on the additional fee amount your are paying for.
[4]
Provide a detailed description on the additional fee amount your are paying for.
[5]
Provide a detailed description on the additional fee amount your are paying for.
[6]
Provide a detailed description on the additional fee amount your are paying for.
[7]
Provide a detailed description on the additional fee amount your are paying for.
[8]
Provide a detailed description on the additional fee amount your are paying for.
[9]
Provide a detailed description on the additional fee amount your are paying for.
[10]
(If you pay an unlisted fee, please bring a printed copy of receipt to Business Window)
Total:
$0.00
If payment is made during the
LAST TWO WEEKS
of school, bring a printed copy of receipt
to Mrs. Mounteer at the business window for credit
.
Online lunch payments can be made by clicking here.
Payer's Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Payment Information
Method of Payment:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
Convenience Fees:
Credit cards:
3% plus $0.50 ($1.50 min)
(+1.5% convenience for foreign cards)
eChecks:
$0.49
Update name from
Payer'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:
(Type number or swipe with cursor in this empty field)
Expiration Date:
01
02
03
04
05
06
07
08
09
10
11
12
/
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Card ID (CVV2/CID) Number:
What is the Card ID?
Cardholder Information
(exactly as it appears on your statement)
Update from
Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
Please be aware that payments will reflect on your statement as
Schools 800-764-0844 Clinton UT
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