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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School Building

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An error occurred. Please complete any required fields (outlined in red) and resubmit.

Thank you for completing your registration. Welcome to Academic Challenge!

DO NOT SUBMIT MULTIPLE REGISTRATIONS

Please email us at academic-challenge@dtcc.edu if you need to update any information or are unsure if we have received your form.

Please provide the number you would like us to call if we need to speak with a parent/guardian.

Do NOT provide the student's cell phone number.

Please provide the number we should call to reach a parent/guardian in the event of an emergency while the student is in class on Tuesday.