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. 

If you have questions, please email mantonazzo@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: *