Clone of Dual Credit Registration Form

Dual Credit Registration Form

Summer 2026
High School
EMPLID
Leave blank if you are unsure
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you want to receive text message updates?
Student Email
example@example.com
Parent Email
example@example.com
Advisor Email
example@example.com
Admin Email
example@example.com

Registration Information for Classes
Current Year in School for Fall 2026 (August - December)
Online (Not a live connection)

Authorization

Required
Students enrolling in a dual credit course from Dakota College at Bottineau will receive college credit and the approved associated high school credit for their course(s).
- I authorize Dakota College at Bottineau to release my college grade for the course(s) listed above to my attending high school. Bills must be paid in full in order to release grades.
- It is the students responsibility to follow the college calendar. Including, but not limited to: class dates, fee payment, drop dates, etc.
  - Priority registration Deadline: May 22, 2026
  - Recommended Registration Deadline: May 8, 2026
  - Final Day to Register: June 4, 2026 (late adds)
  - Last date to drop a class with 100% refund - June 4, 2026 (Drops after this date will still owe the full tuition price. If a student drops ALL classes, they may be eligible for a percentage of a refund).
- It is understood the student and parent/guardian are responsible for all costs related to the above registered course(s) and understands tuition/fee payment due dates and withdrawal procedures.
  - One-time $35 application fee
  - Summer 2026 Tuition: $159.90 per credit (3 credit class = $479.70)
  - There is an additional cost for books. The books and pricing are listed here: https://www.dakotacollege.edu/bookstore/books-listing
- Tuition can be paid in Campus Connection or by calling 701-228-5430. Payment is due on June 8, 2026
- Payment plan options available: https://www.dakotacollege.edu/admissions-financial-aid/paying-for-college
- Students are required to check their DCB e-mail for important e-mails from the campus
Parents/Guardians - By signing below, I give authorization for my child/dependent to enroll in dual credit through DCB and acknowledge my responsibilities. I have read and understand the information provided above and I am aware and responsible for all costs as stated above. I'm authrizing that the e-mail addresses listed above will be utilized for communication between myself and DCB.
Student Signature

Clear
Parent/Guardian Signature:

Clear
Admin Approve/Deny
Why?
High School Administrator Signature:

Clear
Should be Empty:

Dual Credit Registration Form

Registration Information for Classes

Authorization