Club & Activity Fee Payments Parent Name First Last Student's Name(Required) First Last Student's Grade2nd3rd4th5th6th7th8thRegister a second student? Yes NoStudent's Name(Required) First Last Student's Grade2nd3rd4th5th6th7th8thRegister a third student? Yes NoStudent's Name(Required) First Last Student's Grade2nd3rd4th5th6th7th8thRegister a fourth student? Yes NoStudent's Name(Required) First Last Student's Grade2nd3rd4th5th6th7th8thClub/Activity(Required)Cross CountryNumber of students Registered(Required)Would you like to donate to the scholarship fund? Yes NoDonation Amount Total Address Street Address Address Line 2 City State Zip Credit CardCard Details Cardholder Name