Admissions 2024/2025

Select a program*

Preschool / Kindergarten

School Year:*

2024/2025

Location*

Please select a campus:

Buckhead

East Cobb

Emory / Decatur

Johns Creek / Suwanee

Personal Data

Home Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone Number:*

Parent 1 Name (Primary Contact)*

First Last

Please select relationship to child*

Parent 1 Cell Phone*

Parent 1 Work Phone

Parent 1 Email*

Parent 2 Name

First Last

Please select relationship to child

Parent 2 Cell Phone

Parent 2 Work Phone

Parent 2 Email

First Carpool Contact

Please list the people that you would like to authorize to pick up your child. We will not release your child, under any circumstance, to anyone other than his/her parents without written permission.

First Last

First Carpool Contact Phone

Second Carpool Contact

First Last

Second Carpool Contact Phone

Emergency Contact

Please list local persons other than regular carpool drivers that we may call in case of an emergency if you cannot be reached and that has permission to pick up your child.

First Emergency Contact Name*

We will contact this person after attempting to contact Parent 1 and Parent 2.

First Last

First Emergency Contact Phone*

Second Emergency Contact Name

First Last

Second Emergency Contact Phone

Medical Information

Child's Physician*

First Last

Physician's Phone Number*

Insurance Company*

Insurance Company Phone Number*

Insurance Group Number*

Insurance Company Address*

Street Address Address Line 2 City State ZIP Code

Health Problems, Allergies, or other important information

Please list any allergies, health concerns, or other important information we should know about your child. Please make sure your child's teachers and the school Director understand the severity of any allergies.

Symptoms displayed when having an allergic reaction:

Policies, Tuition, Consent:

Health Insurance*

*I understand all children enrolled at The Spanish Academy are required to have health insurance.

I have read and agree to the policies listed above.

Emergency Medical Agreement*

Should my child suffer an injury or illness while in the care of The Spanish Academy, and the school is unable to contact me (us) immediately, it shall be authorized to secure medical attention and care for my child as may be necessary. I (we) assume responsibility for payment of services. I (we) agree to keep the school informed of changes in telephone numbers where I (we) can be reached.

I have read and agree to abide by the policies listed above.

Immunization Form 3231*

All children attending The Spanish Academy are to be age appropriately immunized with all the required vaccines before the start of school and must have an updated form 3231 Immunization on file. Tuition paid will not be refunded because student does not have an up to date form. Non-medical exemptions are not accepted by The Spanish Academy.

I have read and agree to abide by the policies listed above.

Pictures and video for marketing*

*I understand candid pictures and video of children at The Spanish Academy may be used for advertising purposes unless the administration has been notified otherwise.

I have read and agree to abide by the policies listed above.

Billing Information

Lastly, please fill out your information and preferred email for the billing information below.

We confidently use Stripe payments and trust your credit card information is safe and secure.

Name*

First Last

Email*

Total

Coupon

TSA Teachers may use this if applicable.

Credit Card

Card Details

Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

Admissions Sign Up 2024/2025

Personal Data

Emergency Contact

Medical Information

Policies, Tuition, Consent:

Billing Information

Lastly, please fill out your information and preferred email for the billing information below.

We confidently use Stripe payments and trust your credit card information is safe and secure.