New Student Registration Form

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

First Name

Middle Name

Last Name

Street Address or P.O. Box

City

State

Zip Code

Student Email Address

Birth Date

Gender

"Home" Phone

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.

Parent/Guardian Name

Relationship

Cell Phone

Work Phone

Email Address

Additional Parent/Guardian Name

Relationship

Cell Phone

Work Phone

Email Address

With Whom Does the Student Reside?

Emergency Daytime Phone

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. You can have multiple email addresses for this, but only one cell phone number. Please do not use a student's school issued email address, those often reject outside their domain.

Contact 1 (Cell Phone or Email Address)

Contact 2 (Email only)

Academic Challenge Course Information

Math Only

English Only

Math & English

Home School Information for the 2023-2024 School Year

School District

School Building

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

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

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.

Guardian Information

Approval to Enroll

Sussex Academy students please select the School District you live in. Do not select "Home Schooled/Private" unless you do not live in a Sussex County School District.