You are paying for 5th Grade Band for the 2020-2021 term.

"*" indicates required fields

Child's Name*
Parent/Guardian Name*
Parent/Guardian #2 Name
Please only fill out if the second parent/guardian needs to be informed about Kids Club updates
Choose Payment Option*
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date