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D I S C O V E R A N D P L A Y

21

2016-2017 Registration

(cont.)

Payment Options

Main Contact Name ______________________________________ Participant Name_ ______________________________________

OPTION A: FULL PAYMENT WITH REGISTRATION

Full payment is due for all registrations that cost less than $400 and or all registrations received after March 1, 2017. If full

payment is not provided with your registration, your forms will not be processed, and we will attempt to contact you to

obtain payment.

Please do not enclose cash.

a

Check or money order (payable to City of Raleigh)

a

American Express/ MasterCard/Visa

To make your full payment by credit card, please provide a telephone number where the cardholder can be reached to remit

payment. After the cardholder has been contacted payment is required within 24 hours or your registration will not be

processed.

Cardholder:_ ____________________________________________ Telephone number: ____________________________________

OPTION B: INITIAL PAYMENT AND MONTHLY PAYMENT SCHEDULE

A monthly payment plan is available for registrations that cost $400 or more and

are received on or before March 1, 2017. Payment plans are calculated based on

the date the registration is received. To determine the monthly payment amount,

take the total cost of the registration (including nonresident fees if applicable)

and divide by the number of monthly payments.

Automatic payments can no longer be processed on your behalf.

It is your responsibility to make your payments monthly. You can make payments

online at

parks.raleighnc.gov

then select RecLink, make payments at any

community center or mail a check or money order to:

Recreation Business Office, 105 Pullen Road, Raleigh, NC 27607.

If you are delinquent with your payments, Raleigh Parks, Recreation and

Cultural Resources reserves the right to revoke your payment plan privileges

and withdraw your child (ren) from all programs.

My first payment is by:

a

Check or money order (payable to City of Raleigh)

a

American Express/ MasterCard/Visa

To make your first payment by credit card, please provide a telephone number where the cardholder can be reached

to remit payment. Initial payment is due at the time of registration. After the cardholder has been contacted, payment is

required within 24 hours or your registration will not be processed.

Cardholder:_ ____________________________________________ Telephone number: ____________________________________

By signing below you agree to adhere to the payment plan that you have requested and understand that you are

responsible for payment each month.

Signature__________________________________________________________________________ Date_ _______________________

FINANCIAL ASSISTANCE

Raleigh Parks, Recreation and Cultural Resources recognizes that some participants may need financial assistance to

participate in our programs. Financial assistance is available for year-round Track Out, Before School and After School

programs. Funds are limited. For information about eligibility and additional forms to be completed with registration,

please call

919-996-4800

.

Date Registration Received Payment Plan

March 16-July 15

11 month

June 16-July 15

10 month

July 16-August 15

9 month

August 16-September 15 8 month

September 16-October 15 7 month

October 16-November 15 6 month

November 16-December 15 5 month

December 16-January 15 4 month

January 16-February 15

3 month

February 16-March 1

2 month

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