High School Extracurricular Program Payment Form Number of Students* 1 student $2952 students $5902 students (10% discount) $5303 students ( 10% discount) $795 Name of Student #1 First Name Last Name Name of Student #2 First Name Last Name Name of Student #2 First Name Last Name Name of Student #3 First Name Last Name Optional Donation $180$100$72$54$36$18 Total $0.00 I would like to pay today:Full amount50% minimum: $0.00 $ Yes, I'd like to donate the cost of processing this transaction by adding 3% Please Note: If choosing to pay partial amount today. The second payment will be charged to your credit card on January 15, 2025. Fill out form. Submit Should be Empty: This page uses TLS encryption to keep your data secure.