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JACKSONVILLE HIGH SCHOOL
Student / Parent Information
(
denotes required field)
Parent(s) Name:
Student First Name:
Middle Name:
Last Name:
Student Id:
Address:
City:
State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
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MP
OH
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OR
PW
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PR
RI
SC
SD
TN
TX
UT
VT
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VA
WA
WV
WI
WY
Zip Code:
Email Address:
Phone Number:
Notes:
Information
On-line fee payment is offered as a convenience for our parents and students. It is not a requirement. If you have any questions, please contact the school at 256-782-8800.
Fee Items
CLASS FEES:
Set Price Items
Health Science - Patterson $25.00
Variable Price Items
Blue Ag - Lipscomb
$
Gold Ag - Whaley
$
AP Fees
$
Chorus
$
Drama Class Fee
$
Driver's Education
$
FACS - Young
$
G E M - Golden Eagle Media
$
ATHLETICS
Variable Price Items
Basketball Spirit Pack
$
Football Fees
$
Cheer Fees
$
Cheer Program Ad Sales
$
Softball Fees
$
Baseball Fees
$
Golf Fees
$
Track Fees
$
Boys Soccer Fees
$
Girls Soccer Fees
$
Mountain Bike Fees
$
BAND
Variable Price Items
Band Fees
$
Band - Nashville - Spring 2022
$
Auxiliary Fees and Tryout Fees
$
Band Shirt/Shoes
$
FAN BUS
CLUB DUES:
Set Price Items
Blue FFA $20.00
Gold FFA $20.00
Key Club $25.00
HOSA $20.00
Mu Alpha Theta $20.00
Jr National Honor Society $25.00
Variable Price Items
Student Council
$
FCCLA - HOME EC CLUB
$
Spanish Club Dues
$
Spanish Honor Society/Club Dues
$
SUMMER SCHOOL
Variable Price Items
Tuition for Summer School
$
MISCELLANEOUS FEES:
Set Price Items
Sr High - Elite Night Tickets $5.00
1
2
3
4
5
6
7
8
9
10
Jr High - Elite Night Tickets $5.00
1
2
3
4
5
6
7
8
9
10
J Hat $20.00
1
2
3
4
5
6
7
8
9
10
FOCUS Short-sleeve Shirt $20.00
Pep Club Shirt - sponsored by Key Club - Ms. Gilliland $10.00
Locker Rental 2021-22 $10.00
Parking Decal 2021-22 $7.50
Transcript $5.00
Out-of-District Tuition $1000.00
Out-of-District Application Fee $50.00
Variable Price Items
Chromebook Fees/Repair
$
Summer School Tuition
$
Lost/Damaged Textbook
$
Library Fees
$
Show Choir
$
Yearbook
$
SCIENCE DONATIONS
Page Desc: Donations to the classroom to help with supplies for all students to use throughout the school year.
Set Price Items
Science 7 Donations $10.00
Science 8 Donations $10.00
Anatomy Donations $20.00
Biology Donations $10.00
Chemistry Donations $10.00
Physical Science Donations $10.00
Physics Donations $10.00
FOCUS
FUNDRAISERS
Payment
Sub Total:
$
0.00
Convenience Fee:
$
1.00
Total Amount Due:
$
1.00
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