Skip Navigation

Request Information

Thank you for your interest in our school!

Please fill out the form below, and we will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:
  • Would you like to schedule a campus tour?

    Yes   No
  • Atlanta Youth Academy is committed to welcoming all qualified students regardless of ability to pay tuition. To make tuition more accessible and affordable, the fees are scaled based on family income. Would you like someone to contact you to discuss tuition and fees?

    Yes   No
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  • Current 3rd-6th graders are invited on campus for a first-hand look into a typical day at AYA. They will attend class with a student host, eat lunch with new friends and get the chance to tour the campus, meet teachers and ask questions. Is your student interested in scheduling a shadow day?

    Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •