Registration Form Step 1 of 4 25% Student/Player Name(Required) First Middle Last Player DOB(Required) MM slash DD slash YYYY Parent/Guardian Name(Required) First Middle Last Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Home PhoneCell Phone(Required)Email(Required)(For Billing Purposes) Is the player's home address in the United States? Yes No Emergency Contact Name(Required) First Last Relation to Student(Required) Emergency Phone(Required)Alternate Phone(Required)Does your child have any life-threatening health conditions?(Required)NoYesIf yes, please explain.Does your child need regular medication?(Required)NoYesIf yes, please explain.Does your child have any other medical issues that we need to be aware of?(Required)NoYesIf yes, please explain.Please upload a copy of the players insurance card.If you do not upload a copy of the insurance card on this form, please make sure to bring a copy with you.Accepted file types: jpg, jpeg, heic, png, pdf, Max. file size: 300 MB. Georgia Premier Academy Fee Schedule - Domestic Players 1. New Student/Player Application Fee- $750 (new students/players only) 2. Boarding Maintenance Fee- $100 (Due August) 3. Gear Package Fee- $350 (Due September) 4. Travel Fee- $750 (Due December) • This needs to be paid before players leave for the Christmas break.International StudentsStudents who are issued an I-20 Student Visa will need to attend either Bulloch Academy or Bible Baptist. Pricing for Bulloch Academy as of 08/2020 is listed below but is subject to change: $900/month (school fees) You can contact Bulloch Academy directly for further questions @ (912) 764-6297 or visit their website: Pricing for Bible Baptist as of 08/2020 is listed below and subject to change: $500/month (School Fees) You can contact Bible Baptist directly for further questions @ 912-764-5615 Georgia Premier Boarding Cost for International $1500/month 1. New Student/Player Application Fee- $750 (new students/players only) 2. Season Fee- $750 Each player is required to pay this to cover playing and traveling expenses accrued during the season. This needs to be paid before players leave for the Christmas break. Fundraising options are available. 3. Uniform/Gear Fee-$350 Each player will receive 2 game jerseys, 3 practice shirts,2 long sleeve shirts, 2 shorts, 1 BP top, and 1 hat. This fee needs to be paid by September 15th. 4. Boarding Maintenance Fee- $100 Each boarder is required to pay an annual boarding maintenance fee. This fee covers all repairs needed in the dormitory thru out the school year. This fee is due in August upon arrival for the new school year. Permission and Medical Release FormTransportation Consent and Liability Release(Required)I give permission for my child to ride in any vehicle driven by a Georgia Premier Academy employee. Georgia Premier Academy and Staff are not responsible for injury or damages that may occur while driving in a vehicle. I agree to the Transportation Consent and Liability Release above.Release StatementIn consideration of my signature on this permission slip, I hereby for my child, his representatives, guardians, and administrators, waive and release all rights, claims, damages, he may accrue against Georgia Premier Academy staff while participating in program sponsored events and activities. I give permission to authorize any needed medical attention in the time of an emergency. I agree to the release statement posted above.State Your Name(Required) State Your Child's Name(Required) Parent/Guardian Name (Print)(Required) Parent/Guardian Signature(Required)Date MM slash DD slash YYYY Georgia Virtual StudentsStudents who require schooling will register with the Georgia Department of Education for its Georgia Virtual School. This program is supported by state tax dollars, but families need to be prepared to pay for classes as sometimes the funding runs out, and not all students will receive funds. Classes can range from $750-$1500 per semester depending on the number of classes the student needs. Students who are registered with Georgia Virtual School need to be prepared with an updated laptop with Microsoft Office and Adobe Reader installed. Both programs are imperative to the student’s productivity. Along, with a laptop and the appropriate programs, students are also recommended to have their individual jump drive to save documents to. Georgia Virtual School is a stimulating program that teaches the students self-discipline and time management. Students need to have a clear understanding that there will be work required of them beyond the normal school hours. Students will be attending online classes from 8:00 am-12:00 pm. Students will also need to study beyond these hours to maintain the work load that comes with some classes. Please upload a copy of the completed homeschool affidavit form here.Max. file size: 300 MB.Please upload a copy of the school choice form here.Max. file size: 300 MB.PhoneThis field is for validation purposes and should be left unchanged.