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Payment Form

Please complete the form below. Required fields marked with an asterisk *

Student Name*

Answer Required

Student Email*

Answer Required

Parent Name

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Parent email

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Quantity

Student Resource Fee - $100.00 per student

Price: $100.00

Adult Course Fee

Adult student defined as 20 years of age or older

Answer Required

$625.00 - 5 Credit Course Fee

$375.00 - 3 Credit Course Fee

$125.00 - 1 Credit Course Fee

Miscellaneous fees

Answer Required

Miscellaneous

Please indicate the nature of the miscellaneous fee (for example fundraising, damaged or lost resources, please be specific)

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Confirmation Email

Confirmation Email *

Email Required