PS 321 Afterschool Payment Form

Use this secure form to purchase the PS 321 afterschool programs in which your child has been enrolled.

If you have children in the same club, you must fill out this form for each child. Ex: If you have 2 children in Ball Games, you must submit once for Ball Games and fill it out again for the second child in Ball Games.

DO NOT PAY FOR AFTERSCHOOL UNTIL YOU HAVE BEEN TOLD THAT YOUR CHILD IS ENROLLED IN A CLASS!

(This secure form has an SSL certificate and passes your account information through to paypal via their api. Your account information is not stored on the site or by the school.)

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Child's Name*
First Last
Class Number (from 2019-2020 school year)*
Summer Program*
- Summer Instrument Rental ($100)
Summer Instrument Rental ($100)
Price: $100.00
Total
PLEASE MAKE SURE THIS TOTAL REFLECTS THE COURSES YOU ARE PAYING FOR BEFORE PROCEEDING.
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name