USD #438 - SKYLINE SCHOOLS - PAYMENT AGREEMENT FORM

For Students: 

Instead of paying my child's/children's school fees in full at this time, I agree to the following payment schedule and promise to make these payments by the 30th of each month.  Should I fail to make these payments as agreed, I understand that Skyline School will add $2.00 per month if I owe the school more than $50 for school fees and no payment is made.  In addition, in the event Skyline School prevails in a lawsuit to collect on this note, I agree to pay Skyline School's attorney fees in an amount the Court finds to be just and reasonable.

 

Please type in the following information.

Parent/Legal Guardian Name

Parent's Social#    Parent's Social#  

Street Address

City ST  Zip Code

 

Dear Parent:

This letter is authorization for you to pay your child's fees as follows:

 

Description of Fees | Amount Due | Date Due

   

   

   

   

   

 

I agree to pay the fees as stated above. (Must be completed in full)

 

______________________________                        ________________________

Signature of Parent/Guardian                                      Date

 

______________________________                        ________________________

Signature of School Official                                        Date

 

 

 

 

 

It is the policy of USD #438 to use the State Setoff Program to collect all delinquent fees that are not paid.  The Kansas Department of Administration will pursue various avenues to collect the funds owed.