Payment Form – St. Clement's

Please fill out the following form to complete your application for St. Clement’s School.
Legal Given Name*
Legal Family Name*
Preferred Name
Birth Date(dd/mm/yyyy)*
Date Format: DD slash MM slash YYYY
Guardian's Email Address*
Admission Fee
Price: $ 200.00 CAD
Total
$ 0.00 CAD
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Please click the submit button only once.