PARADISE SCHOOLS

12775 N 175th Ave

Surprise, AZ 85388
Paragon Management, Inc. 623.455.7400

EXTRACURRICULAR TAX CREDIT CONTRIBUTION FORM

*TAX PAYER(S) NAME(S):
*ADDRESS:

*CITY/STATE/ZIP:

MOBILE NUMBER/EMAIL ADDRESS:

*Required for filing of Credit for Contributions Made or Fees Paid to Public Schools (AZ Form 322)
Note: This form should be used for general contributions, or to pay toward eligible fees for a specified student; however,
if paying the annual extracurricular fee, please use the ANNUAL EXTRACURRICULAR ACTIVITIES FEE FORM. Thank you.

WHERE TO APPLY DONATION:

Allocate my money wherever it is needed the most.

School: PEC PHMS PHHS

Other - please specify only from approved activities list:

(See reverse side for list of approved activities)

SELECT A PAYMENT METHOD:

CASH CREDIT CARD (VISA OR MASTERCARD ONLY)

CHECK *Card Number:

#________________
*Expiration Date: *CCV (3-Digit Code):
MONEY ORDER
#________________ *Name on Card:
*Signature:
*PLEASE COMPLETE ALL FIELDS
A receipt will be emailed/texted to the email/mobile number provided above.

PLEASE REMIT COMPLETED FORM WITH PAYMENT TO: PARADISE SCHOOLS

ATTN: Tax Credit
12775 N. 175th Ave
Surprise, AZ 85388

OUR STUDENTS THANK YOU!

The above EXTRACURRICULAR ACTIVITY donation is eligible for the Arizona state income tax credit as allowed by A.R.S. 43-1021,
43-1087, 43-1088. Please refer to your personal tax preparer to determine the application of this credit. A receipt will be mailed to you
for your tax records by our Business Office. NO REFUNDS. The law provides for a credit on your state income tax return.
You will receive your money back after you file your state taxes.

Updated May 2017

 PARADISE SCHOOLS
12775 N 175th Ave
Surprise, AZ 85388
Paragon Management, Inc. 623.455.7400

APPROVED EXTRACURRICULAR ACTIVITY FEES SCHEDULE

Annual Extracurricular Activity Fee (1-12) $100 OR K-12 field trip prices varying by event

MIDDLE SCHOOL & HIGH SCHOOL ATHLETIC FEES ELEMENTARY SCHOOL CLUBS

Boys and Girls Basketball $150 Art Club $25/quarter

Boys and Girls Cross Country $150 Spanish Culture $25/quarter
Boys and Girls Soccer $150 Animation Club $25/quarter
Boys and Girls Volleyball $150 Challenger Chorus Donation only
Baseball $150 Chess Club $25/quarter
Softball $150 Coding Club $25/quarter
Cheer $150/season Makerspaces $25/quarter
Flag Football $150 Natl. Elem. Honors Club $25/quarter
Tackle Football $250 Pottery Club $25/quarter
Wrestling $150 STEM $25/quarter
Swimming $150 Young Engineers-LEGO $25/quarter
Golf $150 After School Intramurals $45/quarter
Tennis $150

HIGH SCHOOL CLUBS

Amnesty Club $25/semester International Travel Trip fee, TBD
Art Club $25/semester Fencing Club $25/semester
Bible Club $25/semester Japanime Club $25/semester
Close-up $25/semester Key Club $25/semester
CHARM $25/semester Natl. Honor Society $25/semester
Chorale $25/semester SAT Tutoring $50/semester
Creative Writing $25/semester Student Council $25/semester
Debate Club $25/semester Travel & Photography Trip fee, TBD
Drama Club $25/semester Yearbook Club $25/semester
Drumline $25/semester

Updated May 2017