Payment Acknowlegment Form
By utilizing this form, we ensure transparency and accuracy in recording payments, thereby minimizing any potential discrepancies or misunderstandings. Please complete a separate form for each child you are enrolling.
Date of Payment
-
Month
-
Day
Year
Purpose of payment:
*
Regular School Year Enrollment
Inclusion Program
Spark Program
Campessori Summer
Class Sampler
Others (Pls. specify details in the box below)
Student Status
*
Returning Student
New Student
Level:
Toddler (18 months - 36 months)
Primary (3 years - 6 years)
Preferred Weekly Schedule and Amount Due:
3 times a week (MWF) - P7,000.00
5 times a week - P8,000.00
Preferred Weekly Schedule and Amount Due:
3 times a week (MWF) - P9,000.00
5 times a week - P10,000.00
Message
Message
*
For Others, please indicate if payment is for: Assessment fees, Uniforms, Field trips, Photos, Videos, Etc..
Please specify No. of children signing up / Name of child(ren) / Levels / Preferred weekly schedule:
*
Example: 1 / John D. Doe / Toddler / 5x
Name of the Payor:
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Payment is for:
1 Child
2 Children
3 Children
Name of Child
*
First Name
Last Name
Child's Level:
*
Toddler (18mo - 2yrs.)
Junior Casa (3yrs.)
Senior Casa (4yrs.)
Advanced Casa (5-6yrs.)
Payment Plan
*
Annual
Trimestral
Monthly
Name of Child 2
First Name
Last Name
Child's Level:
*
Toddler
Junior/Senior Casa
Advanced Casa
Payment Plan
*
Annual
Trimestral
Monthly
Name of Child 3
First Name
Last Name
Child's Level:
*
Toddler
Junior/Senior Casa
Advanced Casa
Payment Plan
*
Annual
Trimestral
Monthly
Total amount of payment:
*
Please send us a copy of bank deposit here:
*
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