Uncharted Academy Homeschool

Program Interest Application

We’re excited to have you join our learning voyage! Please complete the form below to apply for your student’s place at Uncharted Academy. Your submission will help us chart the best course for their journey, and our crew will follow up with next steps. For multiple students, please submit a separate form for each voyager.

Student Information:

Student Name *

Student Age *

Student Grade Level *

Program of Interest *

Location Interested in Attending *

Does the Student Have a 504 Plan? *

Yes

Does the Student Have an IEP? *

Yes

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

Primary Related Contact Information:

Primary Related Contact Name *

Phone Number *

Email Address *

Street Address

City

State

Postal Code

Parent/Guardian Signature

Clear

Date Signed

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.