Payment Plan Agreement Form - Oconomowoc Area School District printable pdf download

PAYMENT PLAN AGREEMENT FORM

Although student fees are due in full at time of registration, we understand that in certain, limited

circumstances (where financial hardship can be demonstrated), full and immediate payment of these

fees may place a financial burden on some families. If you are not eligible for Free and Reduced Lunch

and are unable to remit full payment, please fill out this Payment Plan Agreement Form and remit it to

your school site. Our internal accounting system will divide your outstanding balance into four quarterly

payments (September, December, March, June). All accounts arranging for a payment plan will be

granted extended payment terms and must be paid in full by June 9, 2016 (the last student school day).

AGREEMENT: I agree to make payments to Oconomowoc Area School District until the student fees for

the current school year are paid in full. I understand that fees for tangible items such as yearbooks,

assignment notebooks, calculators, etc. are not eligible for a payment plan and must be paid in full

before receiving the item. I understand student accounts must be paid in full by June 9, 2016 and any

past due balances on this date will be referred to the Waukesha County Department of Administration-

Collection Division.

School (list only one school site):__________________________________________

Student’s First and Last Name:___________________________________________

Parent/Guardian Address:__________________________________________________________

Phone Number:________________________

E-mail:___________________________________

Printed Parent/Guardian Name: _____________________________________________________

Signature of Parent/Guardian:________________________________________ Date:__________

PLEASE RETURN THIS FORM TO YOUR STUDENT’S SCHOOL SITE OFFICE. If you have children at

more than one school site, please fill out a separate form for each school site. To view your

outstanding fee balance, please go to the District website and select Family Resources/Family Access

the beginning of the school year for all payment plan information to be entered into Skyward Family

Access by District personnel. If you have questions, please contact your school office.

Greenland Elementary 262-560-8100

Summit Elementary 262-560-8300

Ixonia Elementary 262-560-8400

Nature Hill Intermediate 262-569-4940

Meadow View Elementary 262-560-8000

Silver Lake Intermediate 262-560-4300

Park Lawn Elementary 262-560-8200

Oconomowoc High School 262-560-3100

Payment Plan Agreement Form - Oconomowoc Area School District