New Student Activity Fee Payment Form

This form is intended for students in grades 6 through 12 who participate in school-sponsored extracurricular activities, including athletics and performing arts. Sixth-grade students may participate in the Middle School Play, but are not eligible for interscholastic sports until grade 7. These programs play an important role in promoting student engagement, leadership, and school spirit. To help offset the costs associated with offering these opportunities, a student activity fee is collected annually.

This form also provides the option to purchase of an All-Sports Dragon Pass, which grants admission to all regular-season home sporting events during the 2025-26 school year.

Activity Fee Structure

Standard Rate
Base Fee: $25 per student
Additional Fee: $25 for each extracurricular activity or sport

Reduced Lunch Program
Base Fee: $10 per student
Additional Fee: $10 for each extracurricular activity or sport

Free Lunch Program
No fees are required

Students who qualify for the Free Lunch Program do not need to complete this form. These students may check in at the Middle School office or High School athletic office to receive their activity sticker.

Payment and Admission
Once the base and activity fees are paid, an activity sticker will be issued and placed on the student’s school ID. This sticker grants free student admission to all regular-season home sporting events, as well as performances of the Middle School Play, High School Fall Play, and High School Spring Musical.

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email Address*

example@example.com

Student 1*

	First Name	Last Name	Grade
Student 1

Student 1 - Grade Value

Student 1 - Middle School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 1

Student 1 - High School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 1

Student 2

	First Name	Last Name	Grade
Student 2

Student 2 - Grade Value

Student 2 - Middle School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 2

Student 2 - High School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 2

Student 3

	First Name	Last Name	Grade
Student 3

Student 3 - Grade Value

Student 3 - Middle School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 3

Student 3 - High School Sports/Activities

	Fall Sport/Activity	Winter Sport/Activity	Spring Sport/Activity
Student 3

Fee Calculation
Please select the number of students and the total number of extracurricular activities to calculate your total fee.

Be sure to indicate your student’s lunch status (Standard or Reduced) to determine the correct fee amount. Lunch status will be verified by the district.

The base fee is paid only once per student per school year, regardless of the number of activities. If a student participates in additional activities or sports later in the year, families will only be responsible for the additional activity fee at that time.

Base Fee

$25.00 Number of StudentsLunch Status
Item subtotal:$0.00

Sport/Activity Fee

$25.00 Total Number of ActivitiesLunch Status
Item subtotal:$0.00

All-Sports Dragon Pass

$100.00 Number of Passes
Item subtotal:$0.00

Total

$0.00

Payment Information
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

LASD Student Activity Fee Payment Form