Form
Parents/Guardian's Name
First Name
Last Name
Parent/Guardian's Email
example@example.com
Parent/Guardian's Phone Number
Please enter a valid phone number.
Student's Name
First Name
Last Name
Grade Level for 2024-2025 School Year - if more than one student, check all that apply
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I'm interested in learning more about:
Before & After School Program
Transportation
Curriculum
Extracurricular Activities
Other
How did you hear about GEO Prep Academy?
Facebook
Google
Drove by School
Referred by Someone
Community Event
Other
Submit
Should be Empty: