DC West Activity Pass Order Form

DC West Activity Pass Order Form

Information and Order Form
ADULT & NON DC WEST STUDENT PASS

$60.00 Per Person

**SENIOR CITIZEN (60+) LIFETIME PASS - FREE IF LIVING IN THE DCWEST SCHOOL DISTRICT**
*** REMINDER ***

**ALL DC West Students in grades 7-12 will be required to pay a $35.00 STUDENT PARTICIPATION FEE**

This fee allows students to enter all home games/activities. Once this fee is paid the student will receive an Activity Card from the High School Office. Students in K-6th will not pay this fee and will be allowed into all home games/activities free of charge.

***Payment for Activity Pass can be made using efunds (select Activity Pass)

***Payment for Participation Fee can be made using efunds (select Student Participation Fee)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Number of Passes Needed x $60.00:
#1 Name

First NameLast Name
#2 Name

First NameLast Name
#3 Name

First NameLast Name
#4 Name

First NameLast Name
#5 Name

First NameLast Name
#5 Name

First NameLast Name
Senior Citizen Pass (60+ must live in the DC West School District)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Senior Citizen Pass (60+ must live in the DC West School District)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Senior Citizen Pass (60+ must live in the DC West School District)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Passes to be sent home with:
Student Name
Elementary studentMiddle School studentHigh School student
Once you click submit you will be directed to efunds. Please only submit your order 1 time. You can access efunds directly using the following linkhttps://payments.efundsforschools.com/v3/districts/55632/
Should be Empty: