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REGISTRATION INFORMATION & FORMS

Registration 2017-2018*** 

On-line Registration will be open August 1st

Registration will held on Tuesday, August 8 AND Wednesday August 9 in the Media Center from 3 p.m. to 7:00 p.m.

 

Please Click on READ MORE For the Complete FEE SCHEDULE.

ALL FEES MUST BE PAID AT REGISTRATION TIME, UNLESS FAMILIES HAVE SUBMITTED AND COMPLETED A FREE/REDUCED APPLICATION.

Elementary Grades KG-5

Middle School Grades 6-8

High School Grades 9-12

Instructional Fees                   $35.00

Instructional Fees                 $70.00

Instructional Fees               $70.00

 Reduced Fee     $17.50

Must submit all required forms before determining fees owed

Reduced Fee   $35.00

Must submit all required forms before determining fees owed

Reduced Fee   $35.00

Must submit all required forms before determining fees owed

 

Instrument Rental                $25.00*

*If more than one student in the family is renting an instrument  $20 per student

Instrument Rental               $25.00*

*If more than one student in the family is renting an instrument  $20 per student

Activity Pass Fees**

These prices are for a yearly pass; no price adjustment for passes bought late in the year

Student Activity Pass            $25.00 (optional)

Student Activity Pass     $30.00 (optional)

Student Activity Pass        $30.00 (optional)

Adult Activity Pass                                              $70.00 Yearly Pass

Senior Citizen Pass (60+)                                     $35.00  Yearly Pass

 

Southeast Iowa Super Conference Admission Fees:2016-2017

 

JV/Varsity:       $4.00 Student          $5.00 Adult

 

Junior High:      $2.00 Student         $3.00 Adult

******MEAL PRICES******

PreK-5th Grade Meal Prices

Grades 6-8 Meal Prices

Grades 9-12 Meal Prices

Student Lunch      $1.65

Student Lunch   $2.10    

Student Lunch $2.10

Student Breakfast $1.35    

Student Breakfast $1.45 

Student Breakfast $1.45 

Extra Milk/Juice                    $0.30

Extra milk/juice                  $ 0.30

Extra milk/juice                  $ 0.30

Seconds on Main Entrée $1.00

Reduced Lunch  $0.40

Reduced Breakfast $0.30

Seconds on Main Entrée $1.00

Reduced Lunch  $0.40

Reduced Breakfast $0.30

Seconds on Main Entrée $1.00

Reduced Lunch  $0.40

Reduced Breakfast $0.30

ADULT LUNCH FEE  $3.55   ADULT BREAKFAST FEE   $2.10

Book Rental fees will be assigned to all students at the beginning of the year.    Families may qualify for partial or full waiver of book if they complete Iowa Eligibility Application and waiver.  Adjustments will be made to these assigned fees after approved signed wavier has been received. Optional fees are not subject to fee waivers.  

Book Rental fees will be assigned to all students at the beginning of the year.  Families may qualify for partial or full waiver of book and towel fees if they complete Iowa Eligibility Application and waiver.  Adjustments will be made to these assigned fees after approved signed wavier has been received. Optional fees are not subject to fee waivers.  

 

ON-LINE REGISTRATION:

Click here for instructions on PowerSchool log-in.
 If you have completed single sign-on with PowerSchools, please click here: http://ps-pekin.gwaea.org/public/ and you can complete registration on-line without having to come to the school for registration. If you have NOT completed single sign-on with PowerSchools, please call any school secretary for assistance.

Di Parcell, Elementary Secretary, 319-695-3707 ext. 201
Marla Graham, Middle School Secretary, 319-695-3707 ext. 210
Christy Gambell, High School Secretary, 319-695-3705 ext. 208
 

SUPPLY LISTS PEKIN CHILD CARE THROUGH HIGH SCHOOL, CLICK HERE

PEKIN HOT LUNCH FORMS FOR FREE/REDUCED MEALS

Click on links below:

 

USDA Nondiscrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)        Mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410;

(2)        Fax: (202) 690-7442; or

(3)        Email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Iowa Non-Discrimination Statement: 

“It is the policy of this CNP provider not to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, disability, age, or religion in its programs, activities, or employment practices as required by the Iowa Code section 216.6, 216.7, and 216.9.  If you have questions or grievances related to compliance with this policy by this CNP Provider, please contact the Iowa Civil Rights Commission, Grimes State Office building, 400 E. 14th St. Des Moines, IA 50319-1004; phone number 515-281-4121, 800-457-4416; website: https://icrc.iowa.gov/.”

Medical Forms

 

 

 

Internet usage policyApproved January 2013 – 6-12th grade parents/guardians please read.

NEW STUDENTS TO THE DISTRICT

Kindergarten Student Information

Elementary Climbing Wall Permission - FOR ALL KINDERGARTEN AND NEW ELEMENTARY STUDENTS

Student Profile

Home Language Survey, Race and Ethnicity forms 

Physical for Kindergartners

Immunization Certificate and Schedule

Immunization Exemption

Dental Screening

Dental Screening Exemption

Lead Screening FAQ's

   Blood Lead Testing is Required Before Starting Kindergarten

♦Physician’s Form to administer prescription medicine

Medication/Treatment form Over-the-counter medication

Free & Reduced Application

Annual Notices

Please click here for all Notices

AEA- Brochure/Services

Asbestos Notification

Family Educational Rights and Privacy Act (FERPA)

The Family Educational Rights and Privacy Act (FERPA), a Federal law, requires that Pekin Community School District, with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable information from your child's education records. However, Pekin Community School District may disclose appropriately designated "directory information" without written consent, unless you have advised the District to the contrary in accordance with District procedures.

Physical Restraint and Physical Confinement

Yearly Notice on Level One Investigator

PPRA Model Notice and Consent - EXAMPLE ONLY

 

 

 

 

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Pekin CSD 1062 Birch Ave Packwood, IA  52580

Central Office: 319-695-3039 Fax: 319-695-5130

High: 319-695-3705 Elementary/Middle: 319-695-3707 or 641-661-2351

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