AJLA Forms

(203) 333-2211

500 State Street, Bridgeport, CT 06604

Confirm Registration :

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Pay Tuition

Please use this form to make payments for Tuition or After the Bell.

Parent's Name *

Child's Name *

Class *

Amount *

What is it for? *

Tuition After The Bell

Email Address *

Total Amount *

$

Credit Card No. *

Expiration Date *

First Name *

Last Name *

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(203) 333-2211

500 State Street, Bridgeport, CT 06604