Legacy Heights Academy (LHA)-Official Enrollment Application 2026-2027

Legacy Heights Academy (LHA)-Official Enrollment Application 2026-2027

Thank you for your interest in Legacy Heights Academy, a microschool under Guiding Path Enrichment Center (GPEC). This application helps us confirm eligibility, review student needs, and offer seats as space becomes available.Seats are offered on a first-come, first-served basis once an application is complete.Submitting this application does not guarantee placement.
School Year Applying For
How many children are you applying for today?
Parent/Guardian Information
Parent(s) Full Name(s)
Relationship to Student
Contact Number
Primary Email Address
Preferred Contact Method
Home Address
City, State, ZIP
Secondary Parent Name
Secondary Contact Number
Secondary Email Address
Student Information
Student's First Name
Student's Last Name
Student's Preferred Name (if different)
Student's Gender
Date of Birth

MonthDayYear
Date
Grade Applying For (2026-2027)
Current School/Program
Current County/School District
Is the student currently homeschooled?
Residency & Enrollment Eligibility
Does the student live in Georgia?
Is the student’s home address the same as the parent/guardian address listed above?
If no, what is the student's address?
Proof of Residency

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Please provide one of the following: a lease/mortgage, utility/power bill, or official document showing your name/address. Cancelof
Health & Safety
Does your child have any allergies (food/medicine/environmental)?
Does your child have any allergies (food/medicine/environmental)?
If yes, please describe:
Does your child have any medical conditions we should be aware of to keep them safe?
If yes, please describe:
Current Immunization Form

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Georgia Immunization certificate (Form 3231) or applicable exemption documentation. Cancelof
Learning Supports (IEP/504)
Does your child have an IEP, 504 Plan, or other learning plan?
If yes, please upload the most recent plan (optional but helpful).

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What supports help your child learn best?
Examples: small group, movement breaks, extra time, read aloud, behavior support, etc.
Emergency Contacts & Authorized Pickup
Emergency Contact (not the primary parent/guardian)

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Relationship to Student
Authorized Pick Up List (Include yourself)
List the names, relationship to the student, and phone number of anyone (including yourself) who is allowed to pick up your child.
Required Documents (Georgia Enrollment)
Birth Certificate Upload

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Any additional enrollment documents you have available now (optional)

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Examples: custody/guardianship paperwork, previous school records, withdrawal form, etc. Cancelof
Family Goals & School Fit
Why are you interested in Legacy Heights Academy?
What are your goals for your child this school year?
Which areas does your child need the most support in right now?

Other
What are your child’s strengths and interests?
Tuition & Gap Scholarship

Program Cost: $5,000/student/year. Standard Family Tuition: $1,500/student/year. Need-based Gap Scholarships may be available to reduce the family portion based on demonstrated need and available funding.
Are you requesting a Gap Scholarship?
Tuition Commitment
Preferred Payment Plan
What annual amount can your family commit to if accepted?

Other
Household income range
Upload Proof of Need

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Provide one of the following: SNAP/Medicaid/TANF Benefit Approval Letter, Unemployment/SSI Benefit Letter, or first page of the most recent tax return. Cancelof
Scholarship Acknowledgement
Acknowledgements
Please check EACH box to confirm:
Signature
Typed Signature (Parent/Guardian Full Name)
Today's Date

MonthDayYear
Date
Should be Empty:

Legacy Heights Academy (LHA)-Official Enrollment Application 2026-2027

Parent/Guardian Information

Student Information

Residency & Enrollment Eligibility

Health & Safety

Learning Supports (IEP/504)

Emergency Contacts & Authorized Pickup

Required Documents (Georgia Enrollment)

Family Goals & School Fit

Tuition & Gap Scholarship

Acknowledgements