Uncharted Academy

Mayport Campus Interest Form

Thank you for your interest in Uncharted Academy’s Mayport Campus! Please complete the form below so we can learn more about your student and add you to our list to receive updates on this campus. If you have multiple students please complete a form for each student. Thank You!

🧭 Student Information

Student Name *

Date of birth *

Age *

Student Grade Level *

School Name Currently Attending (If Homeschooling put Homeschool) *

Is the Student Currently Homeschooled? *

Yes

Does the student currently receive a scholarship? *

Step Up for Students – Unique Abilities (FES-UA)

Step Up for Students – Personal Education Program (PEP)

None

Does the Student Have an IEP?

Yes

Does the Student Have a 504 Plan?

Yes

Help us understand your student’s learning journey—are there any diagnoses or concerns we should know about? (e.g., ADHD, Autism, Dyslexia, etc.) If none put none or N/A: *

Help us keep your student safe — list any allergies or restrictions (If none put none or N/A): *

Help us chart the course! Share your student’s interests, strengths, and any details to guide their journey. *

⚓ Parent/Guardian Information

Parent/Guardian Full Name *

Phone *

Email *

Street Address *

City *

State *

Postal Code *

⚓ Next Steps

Once submitted, you & your student will be added to our email list of families interested in attending an Uncharted Academy Mayport Campus. Our Enrollment Team will reach out to you to discuss your student’s needs and next steps toward joining Uncharted Academy’s Mayport Campus.

Thank you for your interest in Uncharted Academy!
🌊 Together, we’re changing the tides of education.

By checking this box, I agree to receive important updates about my student’s voyage with Uncharted Academy—such as enrollment notices, schedule reminders, and other essential communications. Message frequency may vary. Standard message & data rates may apply. Reply HELP for assistance or STOP to opt-out at any time.

By checking this box, I agree to receive updates about Uncharted Academy’s programs and events—such as upcoming opportunities, special offers, and new class announcements. Message frequency may vary. Standard message & data rates may apply. Reply HELP for assistance or STOP to opt-out at any time.