XinXing Academy Activity Fees and Contributions Form
Submit the form below to pay your 2011-2011 fees and contributions via PayPal.
Parent Name
*
First Name
Last Name
Student #1 Name
First Name
Last Name
Student #2 Name
First Name
Last Name
Student #3 Name
First Name
Last Name
Student Grade Levels in 2011-2012 school year (check all that apply)
*
K
3
1
4
2
Activity Fees
Please select the total amount of your payment for each item below. Required fees shown are per student.
Room Parties
Please Select
$5.00
$10.00
$15.00
$20.00
$5.00 per student
Time for Kids Subscription (3rd and 4th grade only)
Please Select
$5.00
$10.00
$15.00
$20.00
$5.00 per student
Contributions
Please select the total amount of your payment for each item below. Suggested contributions are per student.
Silent Auction
Please Select
$5.00
$10.00
$15.00
$20.00
$5.00 per student
Teacher Appreciation
Please Select
$10.00
$20.00
$30.00
$40.00
$10.00 per student
Parent Direct Donation (Optional)
If you would like to provide a donation directly to BeiDouXing please enter the amount below.
Donation to BeiDouXing
Enter Dollar Amount
Pay via PayPal
In the space below, type in the total of all items entered above and click on "Submit Form". You will be redirected to PayPal to complete your payment.
Please Enter Total Payment (sum of all items above)
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USD
Total XinXing Academy Activity Fees and Contributions
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