Tuition Express – Returning Families 2019-2020 Tuition Express Form - Returning Families 2020-2021 Child's Name * School Child Attends * We are excited to offer the safety, convenience and ease of Tuition Express™- an automatic payment processing system that allows on-time tuition and fee payments to be made from your bank account. ELECTRONIC FUNDS TRANSFER AUTHORIZATION FOR BANK ACCOUNT AUTHORIZATION. I (we) hereby authorize CLUB K AFTER SCHOOL ZONE to initiate debt entries to my (our) Checking or Savings Account indicated below. to properly affect the cancellation of this agreement, I (we) are required to give 10 days written notice. Your Name * Phone # * Address * City * State * Zip * Bank or Credit Union Name * Bank or Credit Union Address * City * State * Zip * Routing Transit Number (see sample below) * Account Number (see sample below) * Account Type * Checking Savings ACKNOWLEDGEMENT By typing/signing my name below and electronically submitting my registration to Club K After School Zone, I certify the information is true and correct and I agree to the terms and conditions of my child participating in the Club K After School Zone program. Signature Clear Date * Email * Important! A voided check or bank issued direct deposit form must accompany this document in order for your registration to be processed. Upload your voided check here! * Drop a file here or click to upload Choose File Maximum upload size: 134.22MB 3 of 3 © Club K After School Zone 2020 Submit If you are human, leave this field blank.