Billing Information  
 
  
Child's Name
  
Company Name (optional)
  
First Name
 
MI
 
Last Name
   Address
  
  
City
  
State
  
Zip Code
  
Phone
  
Work Phone
  
E-mail (required for an emailed receipt)
  
 
   Payment Information  
  

Payment Amount
 
  Please select a payment method
Checking Savings
  Notes

 
 

If you do not know the balance of your account you can check on the Procare check-in screen at drop-off or pick-up or call 801-968-0100 for an immediate balance amount.

If you are paying a registration fee or tuition for two children, put their first names in the Child's Name field and put the total registration or tuition for both in the Payment Amount box. Please only submit one payment for two children.

Thank you!


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