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Registration: Re-Enrollment Form

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  • Registration: Re-Enrollment Form

RE-ENROLLMENT Registration

Registration for current Sully Christian School families.

Step 1 of 8

12%

Family Information

Parent Information
Primary email used for communication
Name, City
Do you have any changes to your contact information from last year?
Phone, Email, Address changes, or additional guardianship?

Emergency Contacts

When a parent or guardian cannot be reached
Contact 1
Contact 2

Grandparent Information

We want to keep in touch with grandparents! Please provide contact information for grandparents that would like to receive newsletters, school updates or come to Grandparents Day!
Grandparent's Name
Address
Would they like to receive the monthly newsletter?
Add Another Grandparent
Grandparent's Name
Address
Would they like to receive the monthly newsletter?

Advancement Committee | Registration Items

Would you like to be a Room Mom? If yes, please select which classroom. Advancement will be in contact with you. Thank you! (If you select more than one, Advancement Committee will be in touch to let you know where you're needed most!)

Bus Board Registration Items

If your child/ren plans to ride the bus, please fill out the details below
Include name & address if different than home
Include name & address if different than home
Example: on a specific day, drop-off is different than the rest.

Tuition & Fees

Please email secretary@sullychristian.org if you have any questions about tuition, hot lunch or bussing.
Base tuition amount is $5,950.00 for the year. Transitional Kindergarten is $2,500 and Progressive Kindergarten is $$5,057.50, amounts are payable in 10 month increments, as represented on this form. Sibling discount will be applied for multi-child enrollment.
Price: $25.00
Quantity:
Amount per student. This fee contributes to field trip snacks, teacher gifts throughout the year, classroom parties, etc... Room moms handle these funds according to the classroom needs.

Hot Lunch

A $50 deposit required to start the year.

Bus Fees | Per Family

Enter a quantity of 1, for the applicable bus fee for your family (not per student). Please contact a member of the Bus Board with any question regarding bus fees and routes.
Price: $150.00
Quantity:
Full Year: $300.00, half due at registration. Per Family. (You will only need to choose one bussing option.)
Price: $200.00
Quantity:
Full Year: $400.00, half due at registration. Per Family. (You will only need to choose one bussing option.)
Price: $350.00
Quantity:
Full Year: $700.00, half is due at registration. Per Family. (You will only need to choose one bussing option.)
Price: $475.00
Quantity:
Full Year: $950.00, half due at registration. Per Family. (You will only need to choose one bussing option.)
Price: $200.00
Quantity:
Full Year: $400, half is due at registration. This is only for families that will not need bussing throughout the year. Per family, not per student. It is a fee to help contribute to having busses available for use of the entire school for field trips, emergency use, etc...
Price: $600.00
Quantity:
Full Year: $1,200.00, half due at registration. Per Family. (You will only need to choose one bussing option.)
This is an estimated total of your 1st month's tuition payment & half of the bus fee. This is not your monthly payment, as your 1/2 bus fee is included in this total and will not be included in the following statements. Our finance office will review your selections and ensure that all appropriate selections and discounts have been accounted for. We will email you with an official invoice on August 1st. TRIP & LOG-STO Discounts will be credited to tuition accounts and invoiced as they are received.
Tuition Agreement(Required)
Full tuition amount is calculated according to number of children per family and the grade level in which they are attending. Discounts for multiple children are already factored into the amounts above. One tenth of the annual tuition is due at registration, as well as half year bus fees and a deposit into your family lunch account. The remaining balance of tuition is due is payable in 9 monthly payments from September 1, 2021 – May 1, 2022. Second half of the year bus fees are due at the beginning of the second semester. The tuition amount due may change with eligibility to financial assistance. Tuition amounts may be paid in full at any time and/or monthly amounts greater than the minimum may always be paid. Any alternative payments arrangements from the schedule indicated above are to be presented to and approved by the SCS Finance Committee.
Hot Lunch Program Agreement/Policy(Required)
Student Lunch Cost: $2.85

The policy of Sully Christian School is to offer lunches to all students attending. When a student’s lunch account falls below zero and is at a negative amount, the following policy will apply:

Families will begin to receive an email when their lunch account reaches $20.00 or less. A student may not charge lunches or ala carte items and will receive a peanut butter & jelly sandwich and milk in place of the hot lunch at the same cost as a regular school lunch.

Medical History/Conditions

Fill out this section according to each individual student. Please contact the school office if your student has any health concerns that need to be addressed in the school setting.
Student Name | 1(Required)
Is your child being treated for any of the following? Please check all that apply.
Does your student wear glasses or contact lenses?
Does your student have a known hearing problem?
Does your child need an Epi-Pen at school?
if yes, parents are required to supply school with an Epi-Pen.
Please list all of your child's medications
Time medication is given
Reason for medication

Non-Routine Medication Administration

Please select Yes or No for each medication
Acetaminophen (Tylenol)(Required)
Children's Chewable 160mg every 4 hours
Ibuprofen (Advil/Motrin)(Required)
Children's Chewable 100mg every 6 hours
Tums/Antacid(Required)
Regular strength 500mg 1-2 tablets
Cough Drops(Required)
1 every 3-4 hours

Student 2

Student Name | 2(Required)
Is your child being treated for any of the following? Please check all that apply.
Does your student wear glasses or contact lenses?
Does your student have a known hearing problem?
Does your child need an Epi-Pen at school?
if yes, parents are required to supply school with an Epi-Pen.
Please list all of your child's medications
Time medication is given
Reason for medication

Non-Routine Medication Administration

Please select Yes or No for each medication
Acetaminophen (Tylenol)(Required)
Children's Chewable 160mg every 4 hours
Ibuprofen (Advil/Motrin)(Required)
Children's Chewable 100mg every 6 hours
Tums/Antacid(Required)
Regular strength 500mg 1-2 tablets
Cough Drops(Required)
1 every 3-4 hours

Student 3

Student Name | 3(Required)
Is your child being treated for any of the following? Please check all that apply.
Does your student wear glasses or contact lenses?
Does your student have a known hearing problem?
Does your child need an Epi-Pen at school?
if yes, parents are required to supply school with an Epi-Pen.
Please list all of your child's medications
Time medication is given
Reason for medication

Non-Routine Medication Administration

Please select Yes or No for each medication
Acetaminophen (Tylenol)(Required)
Children's Chewable 160mg every 4 hours
Ibuprofen (Advil/Motrin)(Required)
Children's Chewable 100mg every 6 hours
Tums/Antacid(Required)
Regular strength 500mg 1-2 tablets
Cough Drops(Required)
1 every 3-4 hours

Student 4

Student Name | 4(Required)
Is your child being treated for any of the following? Please check all that apply.
Does your student wear glasses or contact lenses?
Does your student have a known hearing problem?
Does your child need an Epi-Pen at school?
if yes, parents are required to supply school with an Epi-Pen.
Please list all of your child's medications
Time medication is given
Reason for medication

Non-Routine Medication Administration

Please select Yes or No for each medication
Acetaminophen (Tylenol)(Required)
Children's Chewable 160mg every 4 hours
Ibuprofen (Advil/Motrin)(Required)
Children's Chewable 100mg every 6 hours
Tums/Antacid(Required)
Regular strength 500mg 1-2 tablets
Cough Drops(Required)
1 every 3-4 hours

Medical Communication

Parents have differing preferences regarding the amount of communication they would like to receive regarding health situations at school. You will always be contacted in the case of: fever, nausea/vomiting, pink eye, broken teeth, and major accidents.
How would you like to be contacted regarding the above situation(s)?

Information, Publication and Photo Release

I give permission for parent/student information to be published in the school directory.(Required)
I give permission for my child(ren)'s photos to be posted on the school's social media pages, website, newsletters and newspaper publications generated by the school.(Required)
I give permission for my child(ren) to attend field trips/sporting events with the school.(Required)
I give permission for my child(ren) to use technology, including the internet, knowing that the school is making every effort to make that technology safe to use.(Required)
Verification of Information Consent(Required)
I agree to the terms set forth regarding tuition, the statement of faith, medical history and administration, the hot lunch policy and release of information as specified on this form.
I hereby affirm that I have read and agree to the terms stated herein I agree to the payment plan indicated above and accept the conditions and tuition payment requirements. Please note: This is a legal document, and your signature constitutes full agreement with the terms set forth.
Parent or Guardian
Please enter a number from 1 to 100.
Security Question | Please answer & click submit below
  • 641.594.4180
    secretary@sullychristian.org
    12629 S 92nd Ave E Sully, IA 50251

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