IB Exam Payment Form for RET JF114

IB Exam Payment Form

2025-26 School Year

This form requires a parent's digital signature and should only to be completed by the Parent or Guardian of a student. Students and parent/guardian should complete this form.

Please Note: Forging a parent's signature (digital or written) is a serious issue that not only impacts future trust but may also have additional consequences.
Are both the student and parent/guardian present? Please note both the student and parent must initial this form*

YesNo

This form requires both the student and parent/guardian to complete.

Thank you.

IB Exam Payment Form 2025-26

Please note: that both the student and parent/guardian must initial this form
Student Name*

First NameLast Name
Student ID#*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
1) Your STUDENT should have filled out the "IB Exam Information" form ONLINE, have they completed this form? IB Exam Information Form: https://tinyurl.com/CPHSibexamregistration
Has your Student completed the above noted form CPHS IB Exam Registration*

My Student has completed the form
2) Initial each statement- This acknowledges that you understand the information.

**Both Student and Parent/Guardian initial EACH line**
If a student fails to take or complete in good faith any part of an IB exam for which they are registered, they will be assessed a $60 missed-test fee and their original fee is NOT REFUNDABLE.
Student Initials*

Clear
Parent/Guardian Initials*

Clear
All IB scores include classroom components (internal assessments) aside from the written May exam. A student who misses any component of the IB requirements will be subject to the missed-test fee of $60 and their original fee is NOT REFUNDABLE.
Student Initials*

Clear
Parent/Guardian Initials*

Clear
In order to take an IB exam the student must have taken and completed the corresponding IB course. We assume that students who register for an exam are taking the corresponding course. If a student DROPS a course for any reason the $60 missed test fee will still apply and their original fee is NOT REFUNDABLE
Student Initials*

Clear
Parent/Guardian Initials*

Clear
3) Please check ONE of the below options-*

Check here if you are on Free/Reduced Lunch and are paying $10 per exam.Check here if you have requested a scholarship (This means you have completed the APIB Scholarship form below this questionCheck here if you/your family will be paying the standard fee of $60 per exam
If you checked "Check here if you have requested a scholarship" above, please make sure you have filled out the online form at https://tinyurl.com/APIBScholarship based on a financial need.
I understand that I need to make payment online or turn in cash/check to Ms. Brown in House 3 with my name on it BEFORE Friday October 10, 2025 at 3:00pm.*

I understand/agree
If I do not get my payment in by Friday Oct 10, 2025 the price will increase by $15 per exam ($75 standard fee/$25 F/R lunch)*

I understand/agree
ParentGuardian signature*

Clear
Date*

MonthDayYear
Date
Student signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

IB Exam Payment Form 2025-26

If a student fails to take or complete in good faith any part of an IB exam for which they are registered, they will be assessed a $60 missed-test fee and their original fee is NOT REFUNDABLE.

All IB scores include classroom components (internal assessments) aside from the written May exam. A student who misses any component of the IB requirements will be subject to the missed-test fee of $60 and their original fee is NOT REFUNDABLE.