Enrollment Packet 2025-26
Thank you for your interest in Exploration High School! We are excited for the high school journey together!

Please fill out the enrollment packet below and reach out to connect@explorationhighschool.org with any further questions.

We will follow-up with after to confirm your start date and further details.
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Student First Name: *
Student Middle Name:
Student Last Name: *
Preferred Name:
Grade Level 2025-2026: *
Required
Gender: *
Required
Date of Birth: *
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DD
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Ethnicity: *
Required
Name of Current School: *
Home Address (Street, Apt, City, Zip code): *
Guardian #1 - Name: *
Guardian #1 - Relationship to Student: *
Guardian #1 - Email: *
Guardian #1 - Phone Number: *
Guardian #2 (optional) - Name:
Guardian #2 - Relationship to Student:
Guardian #2 - Email:
Guardian #2 - Phone Number:
Emergency Contacts (Name, Cell phone, Relationship):

Person(s) listed below is/are authorized to pick up the child from school in case of an emergency and in the absence of a parent/guardian. Emergency contacts must be age 18 years or older.
What language does your family speak at home most of the time? *
Required
Does your child have an Individualized Education Plan (IEP) or 504 plan? *
If yes, please list the last date of annual review:
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DD
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Transportation to and from school: *
Required
Data Release:
I hereby Exploration High School my consent to contact my previous school for records, to use my child's academic assessment data, and to publicly post my child's academic assessment data for learning purposes. I further waive, release, discharge, and disclaim any right or claim to any payment or compensation for this release.
 *
Required
Photo/Video Release:
I hereby Exploration High School my consent to use, Publish, republish, disclose, or re-disclose any photographs, voice recordings, and/or video recordings taken or made of myself or my child by Exploration High School for use on Exploration High school's website, brochures, videos, and other publicity purposes related to Exploration High School. I further waive, release, discharge, and disclaim any right or claim to any payment or compensation for this release or the use of my child's likeness.
 *
Required
Your Signature: *
Submit
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