Enrollment Fee Form

Please use this form to pay the enrollment fee of $20.00 to Horizons at Carolina Day School. The Director will contact you about the next steps in the process. 

DONORS: If you would like to pay for a student's enrollment fee as a gift, please enter ENROLLMENT GIFT in the Student Full Name field.

If you have questions, please email jtracy@carolinaday.org.

(* Denotes Required Fields)

Student / Family Information
Parent Full Name: *
Student Full Name: *
Parent Email Address: *
Parent Phone Number: *
Credit Card Payment Information
Amount:	$0.00
Card Type:	Visa Mastercard American Express Discover
Card Number:
Name on Card:
Verification #: ?
Expiration Date:
Billing Address:
City, State, Zip: