THE DUBUQUE DREAM CENTER ACADEMY (DDCA)

REGISTER NOW

Thank you for considering the Dubuque Dream Center Academy for your child’s education. Please complete the registration information below.

For Dubuque Dream Center Academy Student Enrollment


REGISTRATION APPLICATION


Please complete all required fields that are marked with a red asterisk (*). Once your registration form has been submitted, we will review the information and reach out to you for next steps.

Dream Academy Registration Application

Student Information


Previous School Information


Primary Parent/Guardian [1]


Primary Parent/Guardian [2]


Separation, Divorce, Custody


Emergency Contacts

Please list at least one(1) emergency contact.


Emergency Contact [1]


Emergency Contact [2]

Some description about this section

Medical Information


AUTHORIZATION

This form allows parents and guardians to authorize the provision of emergency treatment for the child(ren) named who becomes ill or injured while under program authority when parents or guardians cannot be reached. In the event reasonable attempts to contact have been unsuccessful, I hereby give consent for the administration of any treatment deemed necessary by the doctor or dentist listed above, or if unavailable, another licensed physician or dentist.

I agree to pay all costs and fees as secured or authorized under this consent.


The Dubuque Dream Center Academy ...

... prohibits discrimination against its families, employees, or applicants for employment on the basis of race, color, national origin, age, disability, sex, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status.


TRANSFORMING GENERATIONS through Christ-Centered

and Quality Education

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