Student Registration Form
The U.S. Dream Academy is partnering with the Utah Prisoner Advocate Network to help our nation's children reach for their dreams. Through academic, social, and values enrichment, we inspire and transform the lives of children and youth.

Through high-performance relationships with caring adults, we build dreams, perseverance, skills, and strengthen character.

Your responses to the following questions will remain completely confidential. We will use data from this form to enhance program offerings and to direct beneficial resources to our students and their families.

If you have any questions while filling this registration form out please reach out to Amber Hesleph at
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