22-23 Before and After Care Monthly Payments
1st Student Information
*
Child's First Name
Child's Last Name
2nd Student Information (If applicable)
Child's First Name
Child's Last Name
3rd Student Information (If applicable)
Child's First Name
Child's Last Name
4th Student Information (If applicable)
Child's First Name
Child's Last Name
Payment Reference (Select all that apply)
*
Registration Fee
August 2022 Payment (already includes the Registration Fee)
September 2022 Payment
October 2022 Payment
November 2022 Payment
December 2022 Payment
January 2023 Payment
February 2023 Payment
March 2023 Payment
April 2023 Payment
May 2023 Payment
Late Pickup Fee
Amount Paying:
*
Please refer to the Before/After Care Handbook 2022-2023 Pricing Sheet (link at the bottom of page)
Fee Amount:
Total Amount:
Total Amount + Fee Amount
Total Amount to be Charged:
*
prev
next
( X )
USD
Total amount includes 2.75% fee.
Credit Card
Email Receipt
example@example.com
Additional Information:
Before & After Care Pricing Sheet
Please verify that you are human
*
Submit
Should be Empty: