All payments for Preschool, Extended-Care, and School Age will automatically be withdrawn. Please complete this enrollment form and attach a voided check (if applicable). See Tuition and Payments in the Handbook for further information.

Automatic Withdraw Authorization

Financial Information

* please note that a 3% fee will be added to your tuition payment for all credit and debit card transactions to cover the additional charges HCLP is charged for the use of them.
Signature *
Secured by Formsite