J4KC Recurring Tuition Payment Form

Type a question*

	Parent / Guadian's Name	Complete Address	Phone Number
Parent / Guardian 1
Parent / Guardian 2

You authorize regularly scheduled tuition and other charges to your checking / savings account or credit/debit card. You will be charged the weekly tuition fee for each tuition billing period. You agree that no prior notification will be provided. You can access your account statement online at any time via our childcare management app, Brightwheel.

I / We, Parent / Guardian 1* and Parent / Guardian 2 authorize(s) Just 4 Kids Preschool to charge my bank account or credit / debit card on the first day of each week for payment of my child’s tuition. I agree that I will set up Auto Pay feature using the Brightwheel app prior to my child’s expected start date.

I understand that a 2.9% convenience fee will be charged per transaction when using a credit card. ACH and / or Checking / Savings account is FREE of charge.
Parent / Guardian 1 Signature*

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Date*

MonthDayYear
Date
Parent / Guardian 1 Email*
To receive a copy of this Authorization Form, please provide us your email address.
Parent / Guardian 2 Signature

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Date

MonthDayYear
Date
Parent / Guardian 2 Email
To receive a copy of this Authorization Form, please provide us your email address.
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Just 4 Kids Preschool's Recurring Tuition Payment Authorization Form