First Name of Student
Enter the student's first name as it appears on the school registration.
Last Name of Student
Enter the student's last name as it appears on the school registration.
Name of Parent/Guardian
Name of one parent/guardian student is living with. Example: Michael James Smith
Select a Grade
Select from the drop down box grade of student for this year's registration.
Type of Miscellaneous Payment
Enter the type of miscellaneous payment you are submitting. Example: Lost Library Book
Please enter the amount being submitted for miscellaneous payment.
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