Dacula Classical Academy

Explore our enriching elective programs. Complete the application and submit it along with your registration payment to secure your spot in our vibrant learning community.

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2027-2028 Home School Support Elective Program Application

Friday Only 8:45 am – 12:00 pm

Dacula Classical Academy — SACS Accredited Private Academy

P.O. Box 1938, Dacula, GA 30019 | 678-377-0080

First name

Middle name

Last name

Preferred name

Gender

Age as of Sept 1st

Date of birth

Month

Day

Year

Mailing Address

Mailing Address

Country/Region

Address

City

Zip / Postal code

Home address (if different from mailing)

Home address city

Home address state

Home address zip

Grade level for upcoming school year

Will this student be driving to DCA?

Yes

Driving students must complete a Student Driver Information form.

Student resides with

Both parents

Mother

Father

Other

People who can pick up student

Father's full name

Father's employer

Mother's full name

Mother's employer

Family email

Student's email

Preferred primary contact number

Home phone number

Mother's cell number

Father's cell number

Father's work number

Emergency contact name (someone other than parents)

Emergency contact relationship

Emergency contact phone number

Doctor's name

Doctor's phone number

Allergies

Notable medical information

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Dacula Classical Academy

2027-2028 Home School Support Elective Program Application