School Supplies Form

Required

The Jacksonville Classical Academy Supply Program provides funds to purchase supplies for every student.

Namerequired

First Name

Last Name

Email Address

Phonerequired

Donor Specified Amountrequired

The recommended amount per student is $50.

Student Namerequired

Enter the names of your children whom are students at JXC.

Parent Comments/Questions

Emailrequired

Provide an email address for the receipt.

Please select a payment typerequired

JXC Bluesnap Payment Form

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Card Numberrequired

Expirationrequired

CVV Numberrequired

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