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

Prefix

First Name *

Last Name *

Email *

Please re-enter your email *

Email me if there are problems with my order

Phone Number

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.

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

Please enter number of children and appropriate grade level *

	Grades: PS3 & PK4 \| $125.00
	Grades: K - 5 \| $100.00

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 continue 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 with out one and simply enter your own credit card information.