Tuition Payment Form

Tuition is due on the first business day of each month. Payments received after the tenth will incur a $15 late fee.

Parent/Guardian Name

*

Parent/Guardian Email

*

This address will receive a confirmation email

Child's Name (First & Last)

*

Credit/debit card transanction fee is 2.9% + $0.30. Please choose the appropriate ammount below. If you prefer, you may pay tuition by cash, check, or Zelle app without additional fees.

Regular Price

Payment

Other Amount 2 Day Class ($180.38) 3 Day Class ($252.41) 5 Day Class ($401.61)

Amount

10% Military or Multiple Children Discount

Payment

Other Amount 2 Day Class ($162.37) 3 Day Class ($227.20) 5 Day Class Option ($361.48)

Amount

25% Kirkmont Church Member Discount

Payment

Other Amount 2 Day Class ($135.36) 3 Day Class ($189.38) 5 Day Class ($301.28)

Amount

Additional notes or comments

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Tuition is due on the first business day of each month. Payments received after the tenth will incur a $15 late fee.

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