Explore Academy - Student Interest Form
Submitting this form will place the student(s) in a queue for enrollment at Explore Academy. By supplying your email address, you will be set up to receive frequent updates from the Explore Academy administration.

Please email info@exploreacademy.org for any questions.
Student Name *
Your answer
Parent(s) Name(s) *
Your answer
Student Address *
Include street address, city, and zip code
Your answer
Parent(s) Phone Number *
Please check that the phone number was entered accurately
Your answer
Parent(s) Email Address *
Note: use an email that is checked frequently. Explore Academy will use this email to disseminate information regarding upcoming events
Your answer
What is the student's grade level for the 2018-19 school year? *
What is the student's projected grade level for the 2019-20 school year? *
What school does your student current attend? *
Your answer
How did you hear about us? *
Your answer
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