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St. Teresa Catholic Outreach School
Education by Choice given Opportunity
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Payment Form
Please complete the form below. Required fields marked with an asterisk *
Student Name
*
Answer Required
Student Email
*
Answer Required
Parent Name
Answer Required
Parent email
Answer Required
Quantity
Student Resource Fee - $100.00 per student
Price: $100.00
Adult Course Fee
Adult student defined as 20 years of age or older
Answer Required
$625.00 - 5 Credit Course Fee
$375.00 - 3 Credit Course Fee
$125.00 - 1 Credit Course Fee
Miscellaneous fees
Answer Required
$
Miscellaneous
Please indicate the nature of the miscellaneous fee (for example fundraising, damaged or lost resources, please be specific)
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Confirmation Email
Confirmation Email
*
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