Enrollment Form – Peachtree Prep

Parent / Guardian Information

Parent First Name

Parent Last Name

Parent Email

Parent Number

Street Address

Employer

Additional Parent First Name

Additional Parent Last Name

Additional Parent Email

Additional Parent Number

Additional Parent Street Address

Additional Parent Employer

Student First Name

Student Last Name

Student Gender

Grade

School Year

Current School

1801 Ellington Rd
Conyers, GA 30013
770-860-8900 Ext 1004, 1017

1760 Ebenezer Road
Conyers, GA 30094
770-860-8900 Ext 1012

10125 Hwy 142 N
Covington, GA 30014
770-860-8900 Ext 4001

Monday – Friday
6:30 am – 6:00 pm