ECLC Tuition Option

Name of Parent Completing Form
Enrolled Child #1
Enrolled Child #2
Enrolled Child #3
ECLC Tuition Payment Choice
Please charge my full tuition for the month of April 2020 using payment method on file to help support paying teachers of the ECLC is closed
Please charge 50% tuition for the month of April 2020 using payment method on file to help support paying teachers if the ECLC is closed
Please charge 25% tuition for the month of April 2020 using payment method on file to help support paying teachers if the ECLC is closed
Please charge the amount designated below for the month of April 2020 using payment method on file to help support paying teachers if the ECLC is closed.
We are experiencing financial issues please contact me to explore assistance that might be available
Amount Specified in Option 4
Phone
Email
X

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