Bishop Amat Memorial High School

Dance & Pep Squad Fees. Please itemize your payment below.

Dance Fee

Pep Squad Fee

4% has been added to your total.

Total: $0.00

Student Information

Student ID#: *

Student First Name: *

Student Last Name: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *