2016-/17 Instructional Materials Fee

In the space provided enter student's last name.

In the space provided enter student's first name. No nicknames please.

In the space provided enter parent/guardian's first and last name.

In the space provided enter parent/guardian's cell or day time phone number.

Select student's school from the drop down box.

Select student's grade for registration, from the drop down box.

Click in the check box to submit payment.

Click in the check box to submit payment.

Click in the check box to submit payment.

Click in the check box to submit payment.

Click in the check box to submit payment.

Click in the check box to submit payment.

Click in the check box to submit payment.

Subtotal Amount
Service Fee
Payment Amount