Classroom Fees and Contribution Form
Submit the form below to pay your 2012-2013 classroom fees and contributions via PayPal.
Parent Name
*
First Name
Last Name
E-mail
*
Please enter children's names below, starting with the oldest student.
Student #1 Name (oldest)
*
First Name
Last Name
Grade Level 2012-2013 (oldest student)
*
Please Select
K
1
2
3
4
5
Student #2 Name
First Name
Last Name
Grade Level #2 2012-2013
Please Select
K
1
2
3
4
5
Student #3 Name
First Name
Last Name
Grade Level #3 2012-2013
Please Select
K
1
2
3
4
5
Specify Classroom Fee and Contribution Amounts Below.
Please select items and quantities from the list to the right
prev
next
( X )
Classroom Parties and Activities** required amount per child:
$
5.00
# of Students
1
2
3
Time for Kids (grades 3,4 and 5 only)** required amount per child:
$
5.00
# of Students
1
2
3
Student Planner (grade 5 only)** required amount per child:
$
4.00
# of Students
1
2
3
Classroom Silent Auction Project, suggested contribution per child:
$
5.00
# of Students
1
2
3
Teacher Appreciation, suggested contribution per child:
$
10.00
# of Students
1
2
3
Donation to BeiDouXing
$
1.00
Quantity
10
20
30
40
50
75
100
150
200
250
300
500
750
1000
Total
$
0.00
**Note:
XinXing students that are eligible for the free or reduced price meals program may be eligible for a waiver of the Classroom Fees. Please contact Bei Dou Xing at beidouxingmn@yahoo.com for more information.
Specify Donation Allocation (optional)
If you included a donation to Bei Dou Xing above, you have the option of specifying how to allocate the funds. If no selections are made, 100% of your donation will go to the General Fund. Please make sure the selected allocation percentages total to 100%.
General Fund
Please Select
25%
50%
75%
100%
Provides ongoing support of the Chinese Immersion Program.
Laoshi Fund
Please Select
25%
50%
75%
100%
Supports teacher licensure and continuing ed requirements.
Cultural Fund
Please Select
25%
50%
75%
100%
Long term funds dedicated to student cultural experience.
Pay via PayPal
Click on "Submit Form". You will be redirected to PayPal to complete your payment. You'll receive an email confirmation once the transaction is complete.
Submit Form
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