The Dallas Champions Academy Quarterly is a program to support students and guardians in South and East Dallas throughout the year!  The DCA will inspire and educate in areas of faith, athletic skills from university football coaches, communication skills, the four life principles (Discipline, Trust, Respect, and Hardwork)! The Dallas Champions Academy helps every student identify their purpose in life, develop a champion's spirit in the classroom, their arena, and walking down the street for success today and in the future!

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* 1. Who will be participating in the Quarterly on November 12 @ 5:00 p.m. CST?

(First/Last Name, Age, Grade, School)

Example: Rocky Top, 12, 8th, A+ Academy

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* 2. Does the guardian(s) have a Zoom account?

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* 3. Does the student(s) have access to good wifi or a data plan in order to Zoom?

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* 4. What type of device (tablet, phone, computer) will you be using to attend the Dallas Champions Quarterly?

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* 5. Are you planning to attend the next quarterly meetings? (Please mark all that you will attend).

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* 6. Communication Waiver (text):

I understand that by checking this box, I agree to receive text messages from the Day of Champions and the Dallas Champions Academy at the telephone number provided.

I understand that my consent is not a condition of purchase (You don't have to buy anything, this is free).

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* 7. Communication Waiver (email):

I understand that by checking this box, I agree to receive email messages from the Day of Champions and Dallas Champions Academy at the email provided.

I understand that my consent is not a condition of purchase (You don't have to buy anything, this is free).

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* 8. Communication waiver (phone call):

I understand that by checking this box, I agree to receive phone calls/messages from the Day of Champions and the Dallas Champions Academy at the telephone number provided.

I understand that my consent is not a condition of purchase (You don't have to buy anything, this is free).

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* 9. Parent/guardian contact information.

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* 10. To electronically sign (e-signature), type your name in the text box below to receive phone calls/text/email messages from the Day of Champions and the Dallas Champions Academy.
(Example): Joe Smith

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