: Congregation Payment 2019

1 Work with your students to determine what portion of tuition the student will pay, and what portion of tuition the congregation will pay. Make arrangements for the student to pay their portion to the congregation.
2 Get your student(s) to fill out their Student form online.
Student must fill out their own Student Registration Form.
3 Fill out this CONGREGATION FORM to let us know who the congregation is paying for and how you will pay. The congregation must make sure MWLS receives payment.
3 Checkout. You may choose Mail in Payment or Pay by Credit Card.
4 Mail (or email) students' letters of recommendation.
5 Mail final payment to arrive before June 1

Make checks out to MidAmerica Region with the CONFIRMATION NUMBER on memo line.

MAIL ALL CHECKS AND DOCUMENTS TO:

MidAmerica Region UUA
2355 Fairview Ave N. #312
Roseville, MN 55113

Attn: MWLS

Watch for a confirmation e-mail message within 24 hours. If you should experience any technical difficulties, please report those right away to tech@midamericauua.org

YOUR INFORMATION
First Name:
Last Name:
Email:
Confirm Email:
Phone:
Congregation:
Leadership Role with your congregation::

YOUTH STUDENTS:

For each Youth student, check the congregational fee AND the tuition. You'll get an accurate total at the end.
Youth Student 1 Name:
Youth Student 1 - Congregation pays:
$300 Congregational Fee
Youth student 1 - Tuition:
$475 Full Tuition  $300 (they applied for scholarship)  
Youth Student 2 Name:
Youth Student 2 - Congregation pays:
$100 Congregational Fee
Youth Student 2 - Tuition:
$475 Full Tuition  $300 (they applied for scholarship)  
Youth Student 3 Name:
Youth Student 3 - Congregation pays:
$100 Congregational Fee
Youth Student 3 - Tuition:
$475 Full Tuition  $300 (they applied for scholarship)  
Youth Student 4 Name:
Youth Student 4 - Congregation pays:
$100 Congregational Fee
Youth Student 4 - Tuition:
$475 Full Tuition  $300 (they applied for scholarship)  

ADULT STUDENTS:

For each student, check the congregational fee AND the tuition. You'll get an accurate total at the end.
Adult Student 1 Name:
Adult Student 1 - Congregation pays:
$600 Congregational Fee
Adult Student 1 - Tuition:
$590 Full Tuition  $440 (they applied for scholarship)  
Adult Student 2 Name:
Adult Student 2 - Congregation pays:
$100 Congregational Fee
Adult Student 2 - Tuition:
$590 Full Tuition  $440 (they applied for scholarship)  
Adult Student 3 Name:
Adult Student 3 - Congregation pays:
$100 Congregational Fee
Adult Student 3 - Tuition:
$590 Full Tuition  $440 (they applied for scholarship)  
Adult Student 4 Name:
Adult Student 4 - Congregation pays:
$100 Congregational Fee
Adult Student 4 - Tuition:
$590 Full Tuition  $440 (they applied for scholarship)  

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