Student Application
Please note a $75.00 application fee is due upon submitting application. Fee can be paid via check or credit card at the time of your interview or via Paypal at the end of your application. If you choose to pay via credit card a 2.75% processing fee will be added to your charge. If you have questions about this process please contact the office at 360-671-8085 or info@explorationsacademy.org
Student Information
First Name *
Your answer
Last Name *
Your answer
Middle Initial *
Your answer
Date of Birth (MM/DD/YY) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone 1 *
Your answer
Phone Type *
E-Mail Address *
Your answer
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