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Item amount: 
$____
VPA Magnet Polo Fee (Magnet Students Only!)

Instructor's Name: Raine Allen

Due by Friday, August 18th,2023

Payment parent need to make $15.00 for S,M,L

XL $2.00 extra XXL $3.00

XXXL 4.00 extra

Payment to: Dr. Phillips High
Item Amount: $____
+ Additional Fees:
Convenience Fee $0.31
Item Total $____

Amount:


The minimum amount is $1.00.

Additional Information Requested