Enrollment Registration Interest Form

Please select the Academy of interest:

Utopian Academy for the Arts ElementaryUtopian Academy for the Arts Middle (Ellenwood Campus)Utopian Academy for the Arts @Trilith (Fayetteville Campus)Utopian Academy for the Arts High

Scholar Name

First NameLast Name

Grade Entering

Scholar Birth Date

MonthDayYear

Scholar Residence

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/ Guardian Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Relationship to scholar

Does the scholar have a brother or sister currently attending Utopian Academy for the Arts?

YESNO

If yes, list siblings name, grade and academy attending

Does this scholar reside in the same home with siblings?

YESNO

Is a parent or guardian on the board of this organization?

YESNO

Is a parent or guardian employed by this organization?

YESNO

How did you hear about us?

Non-Discrimination Statement UAFA does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. UAFA also provides equal access or a fair opportunity to meet to any group officially affiliated with the Boy Scouts of America or any other youth group listed in Title 36 of the United States Code (as a patriotic society) that wishes to conduct a meeting within the open or limited public forum offered by the school. The following person has been designated as the middle school Title IX Coordinator to handle inquiries regarding these non-discrimination policies and Title IX questions and/or concerns: Dr. Johanna Strong, Principal 2750 Forest Parkway, Ellenwood, GA 30294 Utopian Academy for the Arts johanna.strong@utopianacademy.com (470)446-1070.

ENROLLMENT REGISTRATION FORM