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        "Payment Protection" Services!

         Paycare Program

PayCare

Parent Membership Agreement

MEMBERSHIP FEES

$125.00 Annually Per Parent, Per Child up to 12th Grade

(*No up-front, out-of-pocket fees to Parents)

SERVICE

To Create the Customized “Parent’s Promise” Plan required for parents to access Pay Incentives to academic, educational, and extra-curricular facilities, transportation, and healthcare for their child(ren) through the 12th Grade; To receive and forward ‘qualifying’ Referral Slips for processing of Pay incentives. Fees can be replenished over a period of 12 months.

Membership Type(s) *
SERVICE (*Check All):*
OPTIONAL FEES: Any applicable fees can be put on Paycare Card and be 'rolled into' Pay Incentive (*Check All): *
**Signatures** (Check All): *
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