2024-2025 FBCA Tuition Agreement
Bank Draft Authorization and/or Other Payment Options for the 2024-2025 school year will be completed on the form below.
Email *
Student(s) Name - Please list all *
Parent/Guardian Name *
2024 - 2025 Payment Options - Please Select One *
I understand that the available bank draft dates are different than previous years and agree to have funds available on the selected date and/or the business day following.  *
Required
Account Holder Name
Bank Name
Routing Number
Account Number
By TYPING MY NAME BELOW, I (we) hereby authorize First Baptist Christian Academy, to initiate debit entries to my (our) Checking account indicated below and the depository named above, to debit the same to such account. *

This authority is to remain in full force and effect until COMPANY and DEPOSITORY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.

TYPE YOUR NAME BELOW

 *
Date Signed *
MM
/
DD
/
YYYY
Optional - If you have any other financial notes that you would like added to your account, please add them below. 
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