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
Student's Date of Birth
-
Month
-
Day
Year
Date
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about GEO Prep Academy?
Facebook
Google
Drove by School
Referred by Someone
Community Event
Other
Submit
Should be Empty: