CLC: Credit Card Payment Form
Cameron Campus
4235 Cullen Blvd.
Houston, TX 77204
832.842.0510
Payer First Name:
Payer Last Name:
Email:
Phone Number:
(Format Example: 7137777777)
Child's First Name:
Child's Last Name:
Child's Classroom: (Check all that apply)
Infant-Honeybee Room
Infant-Ladybug Room
Toddler-Butterfly Room
Toddler-Dragonfly Room
Toddler-Firefly Room
Other
If Other:
Amount:
--Select Amount--
Student Parent (Infant) $290
Student Parent (Toddler) $240
Staff Parent (Infant) $315
Staff Parent (Toddler) $265
Faculty Parent (Infant) $320
Faculty Parent (Toddler) $270
Alumni Parent (Infant) $330
Alumni Parent (Toddler) $280
Enrollment Fee $345
Late Payment Fee $25
Waitlist Fee $45
Other
If Other:
Total Amount (in dollars)
$
.00