Islamic Academy of Riverside – Payment Collection Form body { font-family: Arial, sans-serif; background: #f5f5f5; margin: 0; padding: 20px; } .container { max-width: 800px; margin: 0 auto; background: #ffffff; padding: 20px 30px; border-radius: 6px; box-shadow: 0 2px 6px rgba(0,0,0,0.1); } h1, h2 { margin-top: 0; text-align: center; } .row { display: flex; gap: 10px; margin-bottom: 10px; flex-wrap: wrap; } .field { flex: 1; min-width: 180px; } label { display: block; font-size: 0.9rem; margin-bottom: 3px; font-weight: 600; } input[type=”text”], input[type=”number”], input[type=”date”], select, textarea { width: 100%; padding: 6px 8px; border: 1px solid #ccc; border-radius: 4px; font-size: 0.9rem; box-sizing: border-box; } textarea { resize: vertical; min-height: 60px; } .checkbox-group { display: flex; flex-wrap: wrap; gap: 10px; font-size: 0.9rem; } .checkbox-group label { font-weight: 400; } .actions { text-align: center; margin-top: 20px; } button { background: #0078d4; color: #ffffff; border: none; padding: 10px 24px; border-radius: 4px; font-size: 1rem; cursor: pointer; } button:hover { background: #005ea6; } .section-title { margin-top: 20px; margin-bottom: 8px; font-weight: 700; border-bottom: 1px solid #ddd; padding-bottom: 4px; }

Islamic Academy of Riverside

Payment Collection Form

Date
Staff Name
Payer & Student Information
Parent / Donor Name
Student Name
Grade
Payment Type
Payment Method Select… Credit Card ACH Check Cash
Amount (USD)
Payment Category
Category Select… Tuition Fees Donation PTO Activity Field Trip Other
If Other, specify
Notes
Notes / Description
Staff Initials
// This handler prepares the form data; a backend is needed to actually email and generate PDF. document.getElementById(‘paymentForm’).addEventListener(‘submit’, function (e) { e.preventDefault(); alert(‘Form captured. Connect this form to a server or service to email ptfinancial@outlook.com and generate a PDF.’); });

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