Axis Nation
Name of Student Attending
*
Parent's Name
*
Your Email Address
*
Do you understand the $75 deposit is non refundable?
*
No
Yes
Payment Options
*
(1 St.)Non Refundable Deposit (Add $75.00)
(2 St.)Non Refundable Deposit (Add $150.00)
(3 St.)Non Refundable Deposit (Add $225.00)
(4 St.)Non Refundable Deposit (Add $300.00)
(1 St.)Full Payment (Add $250.00)
(2 St.)Full Payment (Add $500.00)
(3 St.)Full Payment (Add $750.00)
(4 St.)Full Payment (Add $1,000.00)
Total
$
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