Registration Forms

School Registration 2019-2020

Registration Fee Printout

High School RegistrationJunior High SchoolK-6Supply Lists
Textbook Rental -- $65.00 (Reduced-$26.00)Textbook Rental -- $65.00 (Reduced-$26.00)Grades 1-6 Textbook Rental -- $60.00K-6 Supply List
Instrument Rental -- $90.00 (Reduced-$36.00)Instrument Rental--$90.00 (Reduced-$36.00)Kindergarten Textbook Rent -- $55.00High School Supply List
Percussion Rental -- $45.00 (Reduced-$18.00)Percussion Rental--$45.00 (Reduced-$18.00)Grades 1-6 Planner -- $3.00Preschool Supply List
Choir Robe Rental -- $10.00 (Reduced -$4.00)JH Planner -- $3.00 (Reduced-$1.20)7-8 Supply List
3 yr old - All: $350.00 Half: $180.00
4 yr old- All: $245.00 Half: Free

Charter Book and Other Fees:

  • 9th and 10th grade students have no Fees for Concurrent Classes
  • Assess the appropriate fee for any student taking college classes other than NICC, in which the cost exceeds the PSEO fee of $250.00 per class.
  • All students have a $138 Fee per PICC courses (Purple form)
  • 11th and 12th no Fees for PSEO (Yellow form – UIU) unless the course is failed or not dropped by the college drop date
  • 11th and 12th have a Fee of $50 for 4-6 credits, $75 for 7 to 10 credits and $100 over 10 credits per semester for Concurrent Classes.
  • The student is totally responsible for book costs for programs requiring all books purchased up front, this includes: Cosmetology, John Deere Program, and Auto Tech Program.
  • Students will pay$150 every credit over 12 each semester
  • Students will pay $250 if they fail or withdraw from a college course
  • A student will pay the full cost for a class that requires full tuition cost at a college other than NICC that cannot be taken as a PSEO course.
  • Transportation fee for students attending the Calmar campus is $150 per semester
Yearbook K-12: $45.00

2018-2019 Activity Passes:

Grades K – 6: $30.00
Grades 7 – 12: $50.00

Adult Value Pass: $50.00/12 punches
Adult Pass: $75.00 – will admit to all athletic activities during the year.
Senior Citizens (age 65 or older) will be admitted to all activities at no charge.

Hot Lunch/Afternoon Milk Prices:

One white milk is included with each lunch. There is an additional charge for extra white milk, chocolate milk or an orange juice.
Preschool: $2.15/meal ($43.00/20 day ticket)
Grades K – 4: $2.40/meal ($48.00/20 day ticket)
Grades 5 – 8: $2.95/meal ($59.00/20 day ticket)
Grades 9 – 12: $3.05/meal ($61.00/20 day ticket)
Adult lunch: $3.75/meal ($75.00/20 day ticket)

Reduced lunch $ .40/meal ($ 8.00/20 day ticket)

Breakfast (all grades): $1.20/meal
Reduced breakfast: $ .30/meal ($ 6.00/20 day ticket)

White Milk: $ .30 ($6.00/20 day ticket) Chocolate Milk: $ .35 ($7.00/20 day ticket) Orange Juice: $ .40 ($ 8.00/20 day ticket)

NOTICE: If your account balance falls to a negative $5.00 balance, your child(ren) will automatically receive an alternative lunch and will receive no afternoon milk/juice until the account represents a positive balance.

Lunch account balances can be checked online or by calling the office – 563-637-2283.

Forms : To save time and to avoid filling out paperwork, parents are encouraged to go to JMC Online to update your child's information. If you've forgotten your login and/or password, contact the office. Office hours are 8:00-noon, M-F in June/July and from 8:00-4:00, M-F in August. (Athletic Physical & Concussion Forms required only for those participating in athletic programs at WC.) New enrollees will need to print off the forms.
High School Forms
Junior High Forms
K-6 Forms
Lunch Forms
Enrollment Form
Enrollment FormEnrollment Form
Iowa Application Form for Free & Reduced


Health Update FormHealth Update Form Health Update Form 
Dental Screening Letter Media Form (only 1 per family needed) Dental Screening Letter
Home Language Form Home Language Form Home Language Form 
Race & Ethnicity Form Race & Ethnicity Form Race & Ethnicity Form 
Internet Access Form (only 1 per family needed) Athletic Physical Form Media Form (only 1 per family needed) 
Media Form (only 1 per family needed) Concussion Form Field Trip Form
Insurance Information
Athletic Physical Form Field Trip Form Insurance Letter

Concussion Form Student Insurance Brochure
Consent for Medical Treatment Form 
Field Trip Form 
Vehicle Registration Form -(for students who wish to drive to school) 
Transportation Waiver (for students who drive to NICC classes)