Please enable JavaScript in your browser to complete this form.Personal InformationStudent Name *FirstLastStudent DOB *Grade Level *Grade level for 2020-2021 academic school year.Parent/Guardian Name *FirstLastPhone *Current Home Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCannot be P.O. BoxPlease complete the below questions before submitting.What school is your student currently enrolled in? *What school district is your student currently enrolled in? *Gwinnett County SchoolsFulton County SchoolsAtlanta Public SchoolsCobb County SchoolsOtherIf other, please indicate which district *Does your child have an IEP/504 plan? *YesNoNo, however I would like my child to be tested.Which tuition plan are selecting? *WeeklyMonthlyPer SemesterAnnuallyI need more informationPlease visit our Tuition & Fees page for more information at www.ilearnga.com/tuition-fees.NameSubmit