JaNice Van Ness CEO and Founder P: 770-860-8900, ext. 1002 F: 678-212-6079 [email protected]Robin Barnes Headmaster College and Career Advisor [email protected]770-890-8900 ext. 1009 Jenna Johnson Director of Operations and Student Advancement [email protected]770-860-8900 ext. 1006 Randy Goerner Upper School Principal [email protected]770-860-8900 ext. 1008 Brittany Atha Lower School Principal [email protected]770-860-8900 ext. 1007 Skip Argo Director of Facilities and Transportation [email protected]770-860-8900 ext. 1010 Lisa Parsons Registrar [email protected]770-860-8900 ext. 1032 Private School, Conyers Campus Pre-K – 4 th grade 1801 Ellington Road Conyers, GA 30013 770-860-8900 ext. 1001 Private School, Covington Campus Pre- K – 12 th grade 14101 Hwy 278, NE Covington, GA 30014 770-860-8900 ext. 1003 Welcome to Peachtree Academy! It is my pleasure to extend a warm welcome to you as potential new members of our Peachtree Academy Family. At Peachtree, we don’t just enroll new students; we invite parents, grandparents, and extended family to participate in the Peachtree Experience. While your child encounters a challenging curriculum and engaging extracurricular activities, you will enjoy interacting with other parents who share a vested interest in the highest levels of academic achievement provided at Peachtree Academy. We are all in this together! We predict that it will not take long for you to become fully involved in the myriad of opportunities that are available to our families. You will take great pleasure in watching your child’s fine arts performances and musical recitals, be amazed as he or she participates in academic competitions, and will wear the burgundy and black with pride as you cheer for all of our Panther athletic teams. At Peachtree Academy, we are experienced in assisting students make the transition to our school and thrive in a new environment. We would like to begin the process with a day for your child to “shadow” in the classroom and learn more about what makes our school a wonderful place to learn and grow. I invite you to call our Admissions team to visit one of our convenient campuses and see all the wonderful amenities that we offer. As a school accredited by the Southern Association of Colleges and Schools, we can ensure a great education with a wide variety of competitive athletics through the GICAA league and Fine Arts competitions and programs. We are committed to continuous improvement! We hope to impress you with our unwavering intent to provide the highest quality facilities and the most up- to-date technology to fully implement 21 st century classrooms. We promise that our faculty will persist in the study of the most effective instructional strategies that will lead your child to the highest levels of learning. We want to give you every reason to trust in our dedication to the improvement of our instructional program so that your child will be prepared for acceptance at the college(s) of their choice. We couldn’t be happier to welcome you and pledge that we will include you as a critical member of the team that will work toward your child’s ultimate success. Here is to a productive new relationship that will take us all the way to your child’s graduation and beyond! Best regards, Robin Barnes Headmaster
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Jenna Johnson - Peachtree Academy K-12 Private School€¦ · Jenna Johnson Director of Operations and Student Advancement [email protected] 770-860-8900 ext. 1006 Randy
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JaNice Van Ness CEO and Founder P: 770-860-8900, ext. 1002 F: 678-212-6079 [email protected] Robin Barnes Headmaster College and Career Advisor [email protected] 770-890-8900 ext. 1009 Jenna Johnson Director of Operations and Student Advancement [email protected] 770-860-8900 ext. 1006 Randy Goerner Upper School Principal [email protected] 770-860-8900 ext. 1008 Brittany Atha Lower School Principal [email protected] 770-860-8900 ext. 1007 Skip Argo Director of Facilities and Transportation [email protected] 770-860-8900 ext. 1010 Lisa Parsons Registrar [email protected] 770-860-8900 ext. 1032 Private School, Conyers Campus Pre-K – 4th grade 1801 Ellington Road Conyers, GA 30013 770-860-8900 ext. 1001 Private School, Covington Campus Pre- K – 12th grade 14101 Hwy 278, NE Covington, GA 30014 770-860-8900 ext. 1003
Welcome to Peachtree Academy!
It is my pleasure to extend a warm welcome to you as potential new members
of our Peachtree Academy Family. At Peachtree, we don’t just enroll new
students; we invite parents, grandparents, and extended family to participate in
the Peachtree Experience. While your child encounters a challenging
curriculum and engaging extracurricular activities, you will enjoy interacting
with other parents who share a vested interest in the highest levels of academic
achievement provided at Peachtree Academy.
We are all in this together! We predict that it will not take long for you to
become fully involved in the myriad of opportunities that are available to our
families. You will take great pleasure in watching your child’s fine arts
performances and musical recitals, be amazed as he or she participates in
academic competitions, and will wear the burgundy and black with pride as you
cheer for all of our Panther athletic teams.
At Peachtree Academy, we are experienced in assisting students make the
transition to our school and thrive in a new environment. We would like to
begin the process with a day for your child to “shadow” in the classroom and
learn more about what makes our school a wonderful place to learn and grow. I
invite you to call our Admissions team to visit one of our convenient campuses
and see all the wonderful amenities that we offer. As a school accredited by the
Southern Association of Colleges and Schools, we can ensure a great education
with a wide variety of competitive athletics through the GICAA league and
Fine Arts competitions and programs.
We are committed to continuous improvement! We hope to impress you with
our unwavering intent to provide the highest quality facilities and the most up-
to-date technology to fully implement 21st century classrooms. We promise
that our faculty will persist in the study of the most effective instructional
strategies that will lead your child to the highest levels of learning. We want to
give you every reason to trust in our dedication to the improvement of our
instructional program so that your child will be prepared for acceptance at the
college(s) of their choice.
We couldn’t be happier to welcome you and pledge that we will include you as
a critical member of the team that will work toward your child’s ultimate
success. Here is to a productive new relationship that will take us all the way to
In what subject(s) has the student excelled in previously? ________________________________________________________________
In what subject(s) has the student had the most difficulty? _______________________________________________________________
What college(s) is the student interested in attending? __________________________________________________________________
What previous honors or academic awards has the student received? _______________________________________________________
What outside activities / sports does your child participate in?_____________________________________________________________
Campus Preference
___ West
_____ Conyers
_____ Covington
Parent/Guardian Marital Status (please circle): Married Separated Divorced Remarried Deceased Single Resides with (please circle): Parents Mother Father Stepmother Stepfather Grandmother Grandfather Other
In case of divorce or separation, please complete the following questions:
Legal Custody: Joint Mother Father Guardian Other ___________________
School Notifications should be sent to: Mother Father Guardian Other ___________________ Please list who is responsible for monthly payments?______________________________________________________________
Step Mother’s Name ____________________________________ Phone Number ______________________________
Step Father’s Name _____________________________________ Phone Number ______________________________
If parents are separated or divorced, is the non-custodial parent to receive a copy of the grade report? ______Yes ______No Are there any restrictions on the non-custodial parent? _____Yes _____No (if yes, please provide court order)
Please list individuals who are permitted to pick up your child in the event that the parents or guardians are unable to do so
1) _______________________DL#_________________________ Relationship to student____________________________________ 2) _______________________DL#_________________________ Relationship to student____________________________________ 3) _______________________DL#_________________________ Relationship to student____________________________________ 4) _______________________DL#_________________________ Relationship to student____________________________________ Please provide the name of a friend who shares similar educational values that you would refer to Peachtree Academy:
Name __________________________________________________ Telephone number __________________________________ Please provide the name of your church home. Church Home________________________________ Address ________________________________ Phone ________________
FAMILY INFORMATION
Father: Mr.________ Dr. ________
Name ______________________________________________
Social Security # ________---________---_________ of person responsible for financial contract.
• #1 Annual Plan (1 Payment) – Payment of the tuition balance is due by July 1.
• #2 Monthly Plan (10 Payments)-- (July – May) Note: The monthly payment in February is skipped because the Registration and Matriculation for the following school year is due that month. I
understand this is a full year, financial commitment. Failure to pay the required Registration and Matriculation fees in the month of February may result in the
conversion of your tuition fees to the published tuition rate for new families.
I have chosen payment plan # and agree to pay _________ for the entire school year in full (less 3%) by
July 1st ; OR for 10 equal monthly payments beginning July1st. Regardless of whether you pay full tuition by
August 1st or enter a payment plan, annual tuition is due in full for each student upon execution of this agreement.
As good financial stewards of Peachtree Academy, our budget is planned and carried out based on student
enrollment at the time of registration. Faculty contracts are released based on enrollment and salaries guaranteed.
For that reason, students who are withdrawn for any reason are still obligated to the annual tuition defined in this
contract. If you are on a payment plan, you are still obligated to meet your monthly financial obligation even if your
student(s) is/are withdrawn for any reason. Families relocating beyond a 35 mile radius may withdraw with 1
month’s written notice and 1 month’s payment. Verification must be provided. If this contract is broken for any
other reason, Peachtree Academy reserves the right to demand and collect the balance of tuition and any legal,
collection, or administrative fees which may be incurred. This agreement and its payment obligations automatically
renew and are legally binding each successive year unless written notice of withdrawal is given for the next school
year by February 1. Classroom concerns should initially be addressed to your child’s teacher. Administrative staff
is available by appointment if additional support is needed.
I understand that tuition is due on the 1st of each month and that a late fee of $40.00 will be applied to my
account if payment for tuition or incidental charges has not been received by the due date. Peachtree
Academy Private School reserves the right to terminate enrollment and the parent will remain liable for the
balance due for the remainder of the contract, as well as any expense associated with recovery of said debt
including court or collection costs. If a student fails to meet academic expectations or has behavior issues, all
fees will remain due. No school records (academic and/or health), report cards, or diplomas will be released
if there is an outstanding balance on the student’s account. A returned check fee of $40.00 will be assessed
on all returned checks, plus a late fee. Consistent financial issues may jeopardize your child’s enrollment with
Peachtree Academy, yet leave you liable for the remaining year’s tuition.
I understand that this is a legally binding contract and I agree to financially support the programs of Peachtree
Academy Private School. Further, I have read the Peachtree Academy Private School Handbook that is provided
online and is available at the front desk, and I agree to abide by all rules and regulations set forth. Registration and
Matriculation fees are due upon receipt of your acceptance letter. Please note: all Application, Registration and
Matriculation Fees are NON-REFUNDABLE.
Fundraisers: The school receives no church assistance, federal, state, or local funding. Fundraisers are a necessary
part of the financial advancement of Peachtree Academy. All families are required to participate in our volunteering
Complete Mailing Address____________________________________________________________ Phone_________________________ Known Allergies________________________________________________________________________________________________________ Current Medication_____________________________________________________________________________________________________
Special needs/conditions______________________________________________________________________________________________
Conyers Campus -Rockdale Medical Center Address: 1412 Milstead Avenue, Conyers, GA 30012 Phone: 770-918-3000
Covington Campus – Piedmont Newton Hospital Address: 5126 Hospital Drive NE Covington, GA 30014 Phone: 770-786-7053
*********************************************************************************************** The information provided by me in this release form is, to the best of my knowledge, accurate and true. As
indicated by my signature below, I authorize Peachtree Academy personnel to consent to any emergency
treatment of my minor child, ___________________________________________________ which shall in my
absence be deemed necessary. This shall include examination, anesthesia, medical diagnosis, surgery or
treatment and/or hospital care of the minor child and upon the advice of a physician or surgeon licensed to
practice medicine in the United States of America. I acknowledge that I will be responsible for any cost incurred
by this treatment. I understand that Peachtree Academy does not provide health insurance to students. I further
agree that I will not hold Peachtree Academy Private School, or its representatives, liable in any way. This
authorization shall be valid during the my child’s enrollment.