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Returning Student Update Form

DACS Logo

Open House - Sat. Aug 15 from 3:00pm - 6:00pm

First Day of School - Aug 24, 2026

Complete the Returning Student Update Packet for each student by July 31, 2026

Returning Student Required Documents

Current Immunization Records - 7th Graders Only

NC Health Assessment Transmittal (physical) Form - if any changes in medical condition

*Only questions with an asterisk (*) are required

Complete other questions only if there is a CHANGE

Returning Student Update Form

Student Legal First Name*

Answer required for "Student Legal First Name"

Student Legal Last Name*

Answer required for "Student Legal Last Name"

Legal Middle Name

Answer required for "Legal Middle Name"

Grade for School Year 2026-2027*

Answer required for "Grade for School Year 2026-2027"

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

Date of Birth*

Answer required for "Date of Birth"

Address*

Answer required for "Address"

City*

Answer required for "City"

State

Answer required for "State"

Zip/Postal

Answer required for "Zip/Postal"

Contact Phone Number 1*

Answer required for "Contact Phone Number 1"

Contact Phone Number 1 Name and Relation to Student*

Answer required for "Contact Phone Number 1 Name and Relation to Student"

Contact Phone Number 2

Answer required for "Contact Phone Number 2"

Contact Phone Number 2 and Relation to Student

Answer required for "Contact Phone Number 2 and Relation to Student"

Parent/Guardian Information (ONLY if any changes/updates)

Please list details of any change in parent/guardianship (new court order, new guardian name, new guardian phone number, new guardian email address, new guardian work information, etc.)

Answer required for "Please list details of any change in parent/guardianship (new court order, new guardian name, new guardian phone number, new guardian email address, new guardian work information, etc.)"

Emergency Contacts (ONLY if any changes/updates)

Please list details of any change in Emergency Contacts (new emergency contact name, phone number, email address, etc.)

Answer required for "Please list details of any change in Emergency Contacts (new emergency contact name, phone number, email address, etc.)"

Relationship to Student

Answer required for "Relationship to Student"

Medical Information (If any changes/updates)

New Allergies or Health Conditions

Answer required for "New Allergies or Health Conditions"

New Medications

Answer required for "New Medications"

New Special Needs Plan

Answer required for "New Special Needs Plan"

IEP (Individualized Education Plan)

PEP (Personalized Education Plan)

504 (Accommodation Plan)

Other:

*Transportation Change Request Form

I request a change in transportation from last school year.*

Answer required for "I request a change in transportation from last school year."

Yes. List info below:

No transportation change

My child will be a car-rider

Address where your child will be picked up (and dropped off unless listed below)

Answer required for "Address where your child will be picked up (and dropped off unless listed below)"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

I request my child be dropped off at a different location than the pick up address:

Answer required for "I request my child be dropped off at a different location than the pick up address:"

Yes

If no, skip to Permission Forms Section below

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Name of the Person at Drop Off location

Answer required for "Name of the Person at Drop Off location"

Relation to Student

Answer required for "Relation to Student"

Phone Number of Drop Off contact

Answer required for "Phone Number of Drop Off contact"

LOGO

*School Permission Forms

These required permission forms are an agreement between Dillard Academy Charter School, Guardian, and the Student indicated below:

Name of the Guardian*

Answer required for "Name of the Guardian"

Name of the Student*

Answer required for "Name of the Student"

Click here to read the Field Trip, & Photograph Permission form

Do you agree to the Year-Round Field Trip Permission*

Answer required for "Do you agree to the Year-Round Field Trip Permission"

Yes

Do you agree to the Photographic/Video.Web Page Release Authorization*

Answer required for "Do you agree to the Photographic/Video.Web Page Release Authorization"

Yes

Click here to read the Student Device Acceptable Use & Internet Safety Agreement

Do you agree to the Student Device Acceptable Use & Internet Safety Agreement?*

Answer required for "Do you agree to the Student Device Acceptable Use & Internet Safety Agreement?"

Yes

Click here to read the Parent & School Compact Agreement

Do you agree to the Parent & School Compact Agreement?*

Answer required for "Do you agree to the Parent & School Compact Agreement?"

Yes

Would you like to sign up to participate in a parent involvement committee?

Answer required for "Would you like to sign up to participate in a parent involvement committee?"

School Leadership Team (meets twice monthly, usually during the school day)

Dillard Academy Board of Directors' Parent Representative (meets monthly at 5pm)

Parent Teacher Organization (Meets monthly, TBD)

Name, email and phone number for the above committees:

Answer required for "Name, email and phone number for the above committees:"

Click here to read the Mobile Device Agreement

Do you agree to the Mobile Device Agreement?*

Answer required for "Do you agree to the Mobile Device Agreement?"

Yes

Click HERE to see the SY 2027 CEP Parent Letter.

CEP Parent Letter Acknowledgement*

Answer required for "CEP Parent Letter Acknowledgement"

I understand that free breakfast and lunch are available to all DACS students without applications or fees.

Mckinney-Vento Homeless Education (ESSA, Every Student Succeeds Acts 2015; Title IX Part A) Questionnaire

Cuestionario de Determinacion de Residencia del Estudiante/Familia

Currently, are you and your family living in any of the situations listed below? Please indicate the situation that describes your present living situation.

Actualmente, usted y su familia viven en alguna de las situaciones enumeradas a continuación? Por favor indique la situación de vida actual.

Unaccompanied Youth (not in the physical custody of guardian) / Joven No Acompañado (No está bajo la custodia física del guardián)*

Answer required for "Unaccompanied Youth (not in the physical custody of guardian) / Joven No Acompañado (No está bajo la custodia física del guardián)"

Yes

Shared Housing (due to loss or hardship) / Compartiendo Vivienda (debido a una pérdida o dificultad)*

Answer required for "Shared Housing (due to loss or hardship) / Compartiendo Vivienda (debido a una pérdida o dificultad)"

Yes

Runaway/homeless youth (even if parents invite the youth home) / Jóvenes fugitivos/sin hogar (incluso si los padres invitan al joven a casa)*

Answer required for "Runaway/homeless youth (even if parents invite the youth home) / Jóvenes fugitivos/sin hogar (incluso si los padres invitan al joven a casa)"

Yes

Lives in hotels, motels, campgrounds / Vive en hotel, motel, o campamento*

Answer required for "Lives in hotels, motels, campgrounds / Vive en hotel, motel, o campamento"

Yes

Lives in shelters (transitional housing shelters for domestic violence) / Vive en refugios (albergues de vivienda transitoria para violencia doméstica)*

Answer required for "Lives in shelters (transitional housing shelters for domestic violence) / Vive en refugios (albergues de vivienda transitoria para violencia doméstica)"

Yes

Lives in cars, parks, public spaces, abandoned buildings, substandard housing / Vive en coche, parques, espacios públicos, edificios abandonados*

Answer required for "Lives in cars, parks, public spaces, abandoned buildings, substandard housing / Vive en coche, parques, espacios públicos, edificios abandonados"

Yes

Campgrounds or inadequate trailer homes / Campamentos o casas rodantes inadecuadas*

Answer required for "Campgrounds or inadequate trailer homes / Campamentos o casas rodantes inadecuadas"

Yes

Abandoned youth in hospital of other place / Jóvenes abandonados en el hospital o otro lugar físico*

Answer required for "Abandoned youth in hospital of other place / Jóvenes abandonados en el hospital o otro lugar físico"

Yes

Migrant camps / Campamentos de migrantes*

Answer required for "Migrant camps / Campamentos de migrantes"

Yes

Unknown nighttime residence / Residencia nocturna desconocida*

Answer required for "Unknown nighttime residence / Residencia nocturna desconocida"

Yes

Currently in foster care awaiting placement or waiting for placement / Actualmente en cuidado de crianza en espera de colocación o en espera de colocación*

Answer required for "Currently in foster care awaiting placement or waiting for placement / Actualmente en cuidado de crianza en espera de colocación o en espera de colocación"

Yes

None of the above applies to my household’s living situation / Ninguna de las anteriores se aplica a la situación de vida de mi hogar*

Answer required for "None of the above applies to my household’s living situation / Ninguna de las anteriores se aplica a la situación de vida de mi hogar"

Yes

LOGO

Parent Medication Information Letter

Please click here to read the parent medication information letter.

Please click here to download and print the AUTHORIZATION FOR MEDICATION TO BE GIVEN DURING REGULAR HOURS form to be completed by the physician and returned to the school. If you don't have a printer, forms are available at the school.

Required Documents Information

Physician Signed Physical Forms - (If any changes in medical condition, we should be made aware)

Signed Physician Athletic Physical Forms - (For middle school athletics)

Click here for a printable copy of the athletic physical form, or pick the form up at the school

Immunizations - (7th Graders Only)

NC Health Assessment & Immunizations Requirement

North Carolina law requires Health Assessments, including physical examinations, and updated immunizations for all children starting kindergarten each year. The Health assessment must be completed within 12 months prior to the first day of kindergarten.

A blank form is attached here. If your child has not had a physical examination since August 20, 2025, make sure to call your child’s doctor or the North Carolina State Health Department for an appointment.

7th Grade Only

Upload any required documents here, or bring them to the school

Answer required for "Upload any required documents here, or bring them to the school"

Choose a file or drag it here.

Print Name of Legal Guardian*

Answer required for "Print Name of Legal Guardian"

Print Full Name of Student*

Answer required for "Print Full Name of Student"

If these SAME changes apply to other students in your household, list their names and grades below:

Answer required for "If these SAME changes apply to other students in your household, list their names and grades below:"

Signature*

Signature Required

Name: Date:

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.

Signature *

Type to sign

Draw your signature

Full Name *

Date:

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"

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