ACH Form - Tuition (if choosing this payment plan) ACH Form - Lunch (if choosing this payment plan) J-Club Individual Booster Pass (if interested) Admissions Form Free & Reduced Lunch Application (if qualify) (English version) Free & Reduced Lunch Instructions (English version) Free & Reduced Lunch Application (if qualify) (Spanish version) Free & Reduced Lunch Instructions (if qualify) (Spanish version) Health & Safety Emergency Form Home Language Survey Immunization/screening record Media Release Opt Out (English) Media Release Opt Out (Spanish) Parent Questionnaire Payment Information Form Preschool Physical Form (physical acceptable within last 6 months) Preschool Program Preference Preschool Quick Notes Proof of birth date (birth certificate, adoption documents, doctor's letter of birth confirmation) Registration Fee: $50 (applied to tuition for Preschool Plus & Daycare/Extended Preschool only) Speech/Language Developmental Questionnaire Student Race & Ethnicity Form Technology Resources & Internet Responsibility Form (English) Technology Resources & Internet Responsibility Form (Spanish) In addition, 1. Families seeking $1 or more in Preschool Plus tuition assistance are encouraged to complete: The Northwest Early Childhood Iowa Preschool Scholarship Application 2. Families seeking $1 or more in daycare assistance must complete the Department of Human Services Daycare Assistance Application (families will be responsible for the full daycare cost for their child.) Click here to view and print this form. 3. Families seeking help with breadfasts/lunches will need to apply to USDA after July 15th. 4. Other grants if available (forms mailed if applicable) Gehlen Catholic School reserves the right to enroll children based on gender, age, race, ethnicity, church or parish involvement, and low-income families for the purpose of providing a high quality preschool experience which reflects our community's demographics. Required immunizations: A. Pneumococcal Vaccine - TK children under age 5 (3 doses with one dose on or after the age of 12 months or one dose received after 15 months of age. B. Diphtheria/Tetanus/Pertussis (DTap) - five doses required with at least one after the age of 4 C. Polio - four doses with at least one after the age of 4 D. Varicella - two doses or reliable history of natural disease E. Measles/Mumps/Rubella - 2 doses