Viewbook + DVD Request

Submitted by pcms on Sat, 02/20/2010 - 06:51

Viewbook + DVD Request
Find out more about the Exploration Summer Programs! Request an Exploration viewbook and DVD. Our Junior, Intermediate, and Senior Program viewbooks describe our Programs in vivid color, and our DVD gives you a sense of student life at the Programs. In addition, we'll mail you all of the information you'll need to enroll at Exploration. Don't hesitate, submit your inquiry today!

Please note: All information that you provide to Exploration will remain private. Visitors under the age of 13 should not submit an inquiry without the consent of their parent or guardian. See our privacy policy for more information.

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How did you find out about Explo *

If you received a flyer about Explo, please enter the first 7 digits of the code number found above your name on the address field

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Parent/Guardian Title *

Parent/Guardian First Name *

Parent/Guardian Middle Name

Parent/Guardian Last Name *

Parent/Guardian Email *

Address *

City/Province *

State *

Zip/Postal Code *

Country

Phone (###-###-####)

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Student First Name *

Student Middle Name

Student Last Name *

Student Nickname

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Current School

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Grade in Fall, 2010 *

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Below, please indicate the Exploration Program(s) for which you are interested in receiving additional information.

Senior Program (Campus of Yale University)

Intermediate Program (Campus of Wellesley College)

Focus Program: Culinary Arts (Campus of Wellesley College)

Focus Program: TV + Movie Industry (Campus of Wellesley College)

Junior Program (Campus of St. Mark’s School)

Focus Program: Veterinary Science (Campus of St. Mark’s School)

Focus Program: Emergency Medicine (Campus of St. Mark’s School)

Interested in the Residential or Day program?

Has this student been to a sleep-away program before?

Additional Questions/Notes

Note: If you are requesting information for more than one student, please complete a separate request form for each student.

Exploration Summer Programs is operated by Exploration School, Inc., a not-for-profit 501(c)3 educational organization. Exploration Summer Programs, as a part of the Exploration School, Inc, does not discriminate on the basis of physical handicap, sex, race, creed, color, sexual orientation, or national or ethnic origin in administration of its educational policies, admissions, scholarships, or other social programs. It affords all students the rights and privileges that are generally made available at the School