Parent/Guardian Information
First Name:
A value is required.
Last Name:
A value is required.
Phone Number:
A value is required.
Email Address:
A value is required.
Address:
A value is required.
Address 2:
City:
A value is required.
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
A value is required.
Student Information
Student 1:
First Name:
Last Name:
Student 2:
First Name:
Last Name:
Student 3:
First Name:
Last Name:
Student 4:
First Name:
Last Name:
School Information
School:
Brownfield
Littlefield
Levelland
Pass Amount:
$
A value is required.
Invalid format.
The entered value is less than the minimum required.
The entered value is greater than the maximum allowed.
Must be dollar and cents such as 12.50 or 2.00. No dollar sign ($) necessary.
Late payment still apply, please call SPARTAN if you are unsure of balance
Payment Information
Name on Card:
A value is required.
Card Type:
Visa
Mastercard
Discover
American Express
Card Number:
A value is required.
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
12
2016
2017
2018
2019
2020
2021
2022
2023
2024
CVV Code:
What is my CVV code?
A value is required.