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Holy Trinity School, Archdiocese of Washington
Initial Billing Items for Holy Trinity, DC
Use this form to choose after-school program options and lunch items for an individual student. We will use your choices to create an initial billing account that will be used throughout the year for any items that require payment. If you have multiple students at HTS, you must complete this form once per child.
Within three business days after you have completed this form
, you will receive an email with login information to securely set up payment options.
You may contact Holy Trinity at
financehts@htsdc.org
or (202) 337-2339 ext. 243.
Parent/Guardian #1 Name
*
Parent/Guardian #2 Name
Street Address
*
City
*
State
*
Zip Code
*
Primary Phone Number
*
Primary Email Address
*
Student Name
*
Student Grade in 2011 - 2012 School Year
*
Select Grade
P
K
1
2
3
4
5
6
7
8
Staff Member
After-School Fees
Will you enroll this student in the After School program?
*
No
Yes, we will register by quarter and pay up front
Yes, we will register for the full year and would like to pay in full
Yes, we will register for the full year and would like to pay monthly
Quarter 1 (8/30/2011 - 10/28/2011)
Will Not Attend
3:00 - 4:00 pm, $220.00
3:00 - 5:00 pm, $420.00
3:00 - 6:00 pm, $620.00
Early Dismissal, $50.00
Quarter 2 (10/31/2011 - 1/13/2012)
Will Not Attend
3:00 - 4:00 pm, $230.00
3:00 - 5:00 pm, $440.00
3:00 - 6:00 pm, $650.00
Early Dismissal, $50.00
Quarter 3 (1/17/2012 - 3/16/2012)
Will Not Attend
3:00 - 4:00 pm, $245.00
3:00 - 5:00 pm, $460.00
3:00 - 6:00 pm, $675.00
Early Dismissal, $50.00
Quarter 4 (3/19/2012 - 6/8/2012)
Will Not Attend
3:00 - 4:00 pm, $270.00
3:00 - 5:00 pm, $520.00
3:00 - 6:00 pm, $770.00
Early Dismissal, $75.00
Full Year, Pay in Full
*
3:00 - 4:00 pm, $965.00
3:00 - 5:00 pm, $1,840.00
3:00 - 6:00 pm, $2,715.00
Early Dismissal, $250.00
Full Year, Pay Monthly (Sept - May)
*
3:00 - 4:00 pm, $107.23
3:00 - 5:00 pm, $204.45
3:00 - 6:00 pm, $301.67
Early Dismissal, $27.78
Please note that the following charges may be incurred:
After School Drop-in Fee:
$25/day/child
After School After 6 Fee:
$2.00/minute/child
Lunch Options
Hot Lunch Options
*
No Hot Lunch
Hot Lunch, Pay in Full, $684.90
Hot Lunch, Pay Monthly, $76.10
Milk Options
Carton of Chocolate Milk (for the year)
Price:
$26.00
Quantity:
Carton of 1% White Milk (for the year)
Price:
$26.00
Quantity:
Carton of Skim Milk (for the year)
Price:
$26.00
Quantity:
Pizza Options
Pizza (long Fridays throughout school year beginning 9/9/11)
*
No Pizza Purchase
1 Slice Each Pizza Day, $33.00
2 Slices Each Pizza Day, $66.00
3 Slices Each Pizza Day, $99.00
4 Slices Each Pizza Day, $132.00
Total Amount
$0.00
If you have multiple students, you must complete this form once per child. Simply submit this form using the following button and follow the directions to complete this form for additional students.
Email
This field is for validation purposes and should be left unchanged.
