Kids' Clubhouse Payment Form

Please choose your desired package and/or registration options below. Please note that there is a 2.75% transaction fee added on to all online payments. If you would like to avoid this fee, please coordinate with our office and you can drop off a check for your payment. Thank you!

Name

First NameLast Name

E-mail

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PART-TIME Yearly Registration Fee$50.00

This fee is required for enrollment for every school year (September through August).

FULL-TIME Yearly Registration Fee$100.00

This fee is required for enrollment for every school year (September through August).

100 Hour Package ($11/hour)$1,100.00

200 Hour Package ($10/hour)$2,000.00

Shoe Purchase$15.00

This is required of all part-time students upon enrollment and each time a child grows out of a pair or our KCML shoes.

Pizza Fridays- 1 SLICE (2021/22 School Year)$75.00

This is an OPTIONAL purchase that will provide your child with 1 slice of pizza, fruit, and juice on Fridays during the school year (September-June)

Pizza Fridays- 2 SLICES (2021/22 School Year) 2$75.00

This is an OPTIONAL purchase that will provide your child with 2 slices of pizza, fruit, and juice on Fridays during the school year (September-June)

Subtotal Tax Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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