NCSH After School Program Payment

2017-2018 After School Program

Please enter the name and grade of each child in the after school program below, regardless of location.

Month

Monthly Fee- 1 Scholar

Monthly Fee- 2 Scholars

Monthly Fee- 3 Scholars

Due Date

September $80.00 $160.00  $240.00  9/1/17
October $80.00 $160.00  $240.00  10/1/17
November $80.00 $160.00 $240.00 11/1/17
December $80.00 $160.00 $240.00  12/1/17
January $80.00 $160.00 $240.00 1/1/18
February $80.00 $160.00 $240.00  2/1/18
March $80.00 $160.00 $240.00  3/1/18
April $80.00 $160.00 $240.00  4/1/18
May $80.00 $160.00 $240.00  5/1/18
June $80.00 $160.00 $240.00  6/1/18

 

Contact Fields

First Name
Last Name
Email Address
Address
City
State/Province
Postal Code
Country

Additional Information

Month
Scholar 1 Full Name
Scholar 2 Full Name
Scholar 3 Full Name

Donation Amount

 Make this a recurring donation (Monthly)
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