Tuition Withdrawal Authorization Form

Tuition Withdrawal Authorization Form

St. Paul's Christian School
Dear Parent.

St. Paul’s Christian School utilizes an automated payment processing system. The system allows secure, on-time tuition and fee payments to be made directly to your child’s account. Your authorization as well as your banking institution’s routing number and account number are necessary to perform this process. Simply fill out this form and upload the document where noted.

AUTOMATED DEDUCTION DATES for 2024-2025
August 1st, September 2nd, October 1st, November 3rd, December 1st, January 5th, February 2nd, March 2nd, April 1st, May 1st.

There will also be one last deduction on May 18th. Please note this last draw will only be for the Lunch Buddies and Early Care charges incurred in the month of May.

If you have any questions or concerns, please feel free to contact us via spcsabc@spocala.org.
PARENT/GUARDIAN INFORMATION
PARENT/GUARDIAN NAME:*

First NameLast Name
SIGNATURE CERTIFICATION*

I certify that the representation below is my signature for the purpose of my tuition withdrawal authorization form.
PARENT/GUARDIAN MAIN PHONE:*
Please enter a valid phone number including Area Code.
PARENT/GUARDIAN EMAIL*
example@example.com
IMPORTANT
ENTER CELL PROVIDER
(IF APPLICABLE)
>>>>>>>>>>
IF PARENT/GUARDIAN MAIN PHONE IS A CELL PROVIDER REQUIRED
Enter Provider such as Verizon, ATT, TMobile, Metro, etc.
INFORMATION ABOUT YOUR CHILD
CHILD FIRST NAME*
CHILD LAST NAME:*
BANK OR CREDIT UNION NAME*
ROUTING/TRANSIT NUMBER*
ACCOUNT NUMBER*
IT IS RECOMMENDED THAT YOU UPLOAD a clear photo of a VOIDED BLANK CHECK HERE.

Cancelof
SIGNATURE, SUBMIT YOUR FORM
SIGNATURE*

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