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Request for Information

Thank you for your interest in Furtah Preparatory School!

Please fill out the form below to start the process.  Our Admissions team will be in touch once this form is submitted. 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • Which public school district is your child in?
    (Cobb, Paulding, Cherokee, etc.)

    If you are an international student, please enter NA.
    *

  • Which school is your child currently enrolled in?
    *

  • Has your child ever been enrolled in any special programs, such as gifted or special needs? If yes, please indicate the program.
    *

  • Does the student have any medical issues that might require additional assistance?
    * Yes   No

  • Does your child have an IEP in the public school system?
    * Yes   No

  • Does your child have a 504 in the public school system?
    * Yes   No

  • Are you an international student?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •