EmailMe Form - Payment Form Academy

Payment Type
Apply fee
If you selected other please specify here:
If you selected to pay for the tution please input amount owed
$ Dollars . Cents
Donation Amount(Optional) All Donations are tax deductible
PARENT INFORMATION
Please enter your information below
Name *
First Last
Parent Email *

Confirm
Phone *
### - ### - ####
STUDENT INFORMATION (if applicable)
Please enter your child(ren)'s information below.
Name
First Last
Name
First Last
Name
First Last
Name
First Last
Please let us know if you have any special requests , comments, and/or suggestions. Please specify
UPON SUBMITTING, YOU SHOULD BE DIRECTED TO PAYPAL TO COMPLETE THE TRANSACTION. IF YOU ARE NOT REDIRECTED TO PAYPAL, THE TRANSACTION IS INCOMPLETE.
For any questions or concerns, or to make a payment over the phone, please call the Finance Department at (313) 800-8901 Ext. 1005. Thank you.