New Student Registration Form

 Approval to Enroll

By completing this form I agree to the transfer of academic information between the home school and the Academic Challenge Program. I understand that Level 1 – 3 students will be transported between the home school and Delaware Tech by Academic Challenge buses. In the event of bus difficulties or missed connections, I authorize a home school representative or Delaware Tech representative to transport my child.

 Student Information

State

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Gender

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Ethnicity/Race

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Guardian Information

Second Parent/Guardian Name

Relationship

Cell Phone

Work Phone

Email Address

Delaware Tech Account Activation and Password Reset

An email or cell number MUST be provided for account activation and password reset links. If you do not want your student’s contact information entered into Delaware Tech’s system, you may use a parent email or cell number and forward the link to your student when necessary.

Academic Challenge Course Information

Home School Information for the 2020-2021 School Year

School District

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Building

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