MMO Tuition & Extra Payments

Please fill out this form for payment and click submit.

Please note the change: Credit card payments will show on statement as "FAITHPCA.BREE, GA" or something similar.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Tuition Payment

Tuition (I already paid) ($0) Tuition (1 child) ($195) Tuition (2 children) ($345) Tuition (3 children) ($495) Tuition (custom)

Amount

Early Birds

No Early Birds for me ($0) Enter $ total at $6/event

Amount

Lunch Bunch

No Lunch Bunch for me ($0) Enter $ total at $6/event

Amount

Book Worms

No Book Worms for me ($0) Enter $ total at $8/event

Amount

Fun Friday

No Fun Friday for me ($0) Fun Friday (1 child) ($30) Fun Friday (2 children) ($50) Fun Friday (3 children) ($65)

Amount

Fees / Other

N/A ($0) Tuition Late Fee ($25) Late Pick Up Fee ($5) Other

Amount

Payment Details / Notes

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form for payment and click submit.

Please note the change: Credit card payments will show on statement as "FAITHPCA.BREE, GA" or something similar.

Please Fix the Following

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