Student Information

Please enter the names of your child(ren) attending Brent.

1. Student First and Last Name *

1. Grade *

2. Student First and Last Name

2. Grade

3. Student First and Last Name

3. Grade

4. Student First and Last Name

4. Grade

Parent Information

First Name *

Last Name *

Phone Number *

Email Address *

Please re-enter your email. *

Supply & Field Trip Payment

If you have any issues or concerns regarding payment of the supplies or field trip fees, please see the Brent Business Manager, Denise Diggs.

Please note: You must place a zero (0) next to the grades that do not apply to your family. *

	Supplies for Grades: PS3/PK4/K ($125.00/per child)
	Supplies for Grades: 1 - 5 ($100.00/per child)

Student Field Trip Fee: Covers field trips for the entire school year. *

$60 - Field Trip Fee - 1 student

$120 - Field Trip Fee - 2 students

$180 - Field Trip Fee - 3 students

$240 - Field Trip Fee - 4 students

Current Total:

$0.00

THANK YOU!

Once you press the "Continue" button below, you will be taken to a PayPal page. You DO NOT have to have a PayPal account in order to process payment. You have the option to sign-up for an account or to proceed without one and simply enter your own credit card information.