The following form(s) cannot be printed online but must be printed and returned to our office.

Auto Payment Form

We are excited to offer the safety, convenience and ease of Tuition Express — a payment processing system that allows secure, on-time tuition and fee payments to be made from either your bank account or credit card.

I (we) hereby authorize Gateway Christian Education Center to initiate credit card charges to the below-referenced credit card account (Section A) OR, initiate debit entries to my (our) checking or savings account, indicated below (Section B). To properly affect the cancellation or this agreement, I (we) are required to give 10 days written notice. Credit union members: please contact your credit union to verify account and routing numbers for automatic payments. Check with the center for accepted credit card types.

COMPLETE ONE SECTION ONLY

SECTION A (Credit Card)

Cardholder Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Account Number

Expiration Date

Date

YYYY

Cardholder Signature

SECTION B (Bank Account)

*if choosing this option, please bring a voided check to our office

Your Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bank or Credit Union Name

Bank or Credit Union Address

(please include city, state & zip

Routing Transit Number

Accounting Number

Please choose one*

Checking

Savings

Authorized Signature

Date

YYYY

I would like to enroll in ACH withdrawals to begin on:

YYYY

Debit my payment

*please choose one

weekly

bi-weekly

Please specify which day of the week:

(ex: Monday, Tuesday, etc.)

Parent/ Guardian Name (s)

Photo Release Form

Parents,

As you know, we take many pictures throughout the day of your children doing various activities and upload them to ProCare for you! We would like to go one step further and use those photos for our website, our Facebook page, bulletin boards, and other forms of advertising.

Please read and let us know if we have permission to feature your child’s pictures on these sites and/or in our classrooms/center.

Please check DO or DO NOT and write your child’s name in the blank.

Download & Print

Submit online by filling out the form below:

Parent's Name

First Name

Last Name

Child's Name

First Name

Last Name

Date

YYYY

I DO / DO NOT give the staff at Gateway Christian Education Center my permission to photograph my child for non commercial use. (Classroom use only)

*please choose one

I DO

I do NOT

I DO / DO NOT give the staff at Gateway Christian Education Center my permission for my child to be shown in photographs/videos (with audio) on the Gateway Christian Education Center website/facebook page/etc. (We will not use children’s names on any of our sites.)

*please choose one

I DO

I do NOT

Signature

Please enter your full name