• UTOPIAN ACADEMY FOR THE ARTS

  • STUDENT ENROLLMENT FORM

  • The Registration Form is an official record. The questions on this form ask for important informationn that will help provide services for your child. Some of the questions are explained below. 

     

    *Providing your child's SSN is optional. If you choose NOT to provide your child's SSN, a signed waiver must be submitted.

     

     

     

  • STUDENT INFORMATION

  • GENDER

  •  /  /
    Pick a Date
  •  /  /
    Pick a Date
  • RACE & ETHNICITY

    (Please answer BOTH questions)
  • ETHNICITY/RACE: This information is required by the Federal Government and is used for data analysis and reporting purposes only. Completion of Part A and Part B is required.

  • STUDENT SERVICES/PROGRAMS

    Welcome to the Utopian Academy for the Arts. In order to assist us in meeting the educational needs of your child, please check appropriate boxes below and supply the requested information to the extent you are able. There are many regulations that govern Special Education programs, 504 accommodations, and services for gifted students. Services provided by your child's previous school should continue in UAFA, but we must be provided with proper documentation. If you want your child to receive the appropriate services, submit current reports, evaluations, the Individualized Education Plan (IEP), and other information you may have as soon as possible. Your effort will expedite services. Please understand that not all documentation from the previous school is automatically forwarded in a timely manner. Thank you for providing this valuable information.
  • I CERTIFY THAT MY CHILD HAS NEVER RECEIVED ANY OF THE ABOVE SERVICES. (Intial below.) 

  • Clear
  • Family/ Household Demographics

  • PARENT/GUARDIAN INFORMATION

    Please provide information on both parents, including parents who do not live with the student. It is assumed BOTH parents/guardians have access to student information unless legal documentation is provided indicating otherwise.
  • FIRST PARENT/GUARDIAN

    Adult Enrolling Student
  • SECOND PARENT/GUARDIAN

  • Third Parent/ Guardian

  • Sibling Information

    Only include siblings currently in school
  • Clear
  • MEDICAL INFORMATION

  • School staff members need to know when your child has a current ongoing health problem for which he or she may require help during the school day. Remember to advise your school of any changes in information.

  • Transportation & Communications Preferences

  • Clear
  • BEFORE AND AFTER SCHOOL INFORMATION (Elementary Only)

  • TRANSPORTATION

  • PERMISSIONS/AUTHORIZATIONS

  • UAFA CHARTER SCHOOL NETWORK MEDIA RELEASE: I hereby give my consent to all photographs and/or audio and video recordings of me and my minor child’s voice, likeness,image, or academic work captured by Utopian Academy for the Arts Charter School Network (UAFA) or its designee. I
    understand that any such photographs, audio and video recordings, and images of academic work will become the property of UAFA and may be used by the UAFA Network or other designee for educational, instructional, and promotional purposes in print, broadcast, and online media formats now existing or created in the future.

    I, furthermore, give my consent for news media, and UAFA employees or designees to interview me and my child about school
    programs. I understand that my child will be under the supervision of a school staff member during such Interviews occurring in my absence. My child reserves the right to refuse to answer any questions or participate in any discussions with an
    interviewer or terminate a photo session at any time, for any reason. I also understand that neither UAFA, nor the news media, has any obligation to air or publish the footage or voice of my child or myself. I also understand that neither I, nor my child, will receive any monetary compensation for the rights granted herein.

    Pursuant to this Media Release, I hereby hold harmless UAFA, its successors, and designees that publish photographs and/or audio and video recordings of me and my minor child’s voice, likeness, image, or academic work from any and all claims,
    damages, liabilities, costs, and expenses which I or my child now have or may hereafter have by reason of any use thereof. I understand that the provisions of this Media Release are legally binding, and that UAFA will not be responsible for, and cannot control, photographs, audio recordings, or video recordings captured by guests attending UAFA events who are not employed by, affiliated with, or under contract with UAFA.


    Finally, by consenting to this Media Release, I understand that the Family Educational Rights and Privacy Act (FERPA) permits U.S. school districts such as UAFA to disclose information designated as “Directory Information” without further consent of the parent or eligible student. Directory Information is considered as the name, grade level, years of attendance, photo or video of a student— the disclosure of which is generally not considered harmful or an invasion of privacy. Among the purposes that the Directory Information exception facilitates, is the release of such information in official school publications and athletic,
    extra-curricular, and graduation programs, as well as school yearbooks, and honor rolls/recognitions. Directory Information may also be shared with the PTA and other legitimate, school-approved agencies, entities, and individuals.

  • Clear
  • Directory Information: The information on this form may be used by the District to meet its duty to monitor and enforce school attendance. The following information is designated as "Directory Information" which schools may release for school purposes without parent consent: student's name, date and place of birth, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, and the most recent previous school attended. Within 30 days of enrollment, a parent may request, in writing to the school, that directory information not be released while the student is enrolled.

  • Clear
  • Clear
  •  /  /
    Pick a Date
  • Non-Discrimination Notice

    Utopian Academy for the Arts recognizes the diversity and worth of all individuals and groups in our society. It is the policy of the Utopian Academy for the Arts that all educational programs, activities and employment will be free of discrimination or harassment on the grounds of race, color, religion, gender, gender identity, sexual orientation, national origin, disability, parental or marital status, or age.

    Residency Notice

    To be enrolled in the Utopian Academy for the Arts Charter Schools, students must reside full-time in Clayton County with their natural parent(s), Legal guardian(s), or legal custodian(s) Students and their arent(s)/guardian(s)/ custodian(s) must remain full time Clayton County Residents for the entire period of enrollment in the Utopian Academy for the Arts Charter School. For the Purpose of thisa policy, resident is defined as an individual who is a full-time occupant of a dwelling located in Clayton County and who, on any given school day, is likely to be at their stated address when not at work or school.A person who owns property in the county, but does not reside in the county, is not considered a resident for the purpose of this policy. Student enrollment forms, as well as other official documents of the school, must be by signed the natural parent or legal guardian with whom the student resides. Educational decisions concerning the child are reserved for the enrolling parent, although both parents can be involved in the process. If there is disagreement between the two parties, the enrolling parent's decision will be the governing decision.

    FalseSwearing Notice (0.C.G.A.16-10-71) (a) A person to whom a lawful oath or affirmation has been administered or who executes a document knowing that it purports to be an acknowledgement of a lawful oath or affirmation commits the offense of false swearing when, in any manner or thing other than a judicial proceeding, he knowingly and willfully makes a false statement. (b) A person convicted of the offense of false swearing shall be punished by fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both.

    I hereby affirm, by my signature, that I am either the parent or guardian of the student being enrolled. I hereby affirm that I am a FULL TIME resident of Clayton County and the information I have given in this document is, to the best of my knowledge, true and correct. I am that all information provided is true, accurate and up-to-date Any false statement subjects the student to immediate withdrawal.

  • Clear
  •  /  /
    Pick a Date
  • Clear
  •  /  /
    Pick a Date
  • Please upload required documents below.

    Enrollment applications will not be considered complete until requires documentation is submitted to Utopian Academy.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Should be Empty: