Please complete the form and provide payment below. Please note that your child's registration will be considered complete upon full receipt of program fees & tuition in their entirety. If you have any questions or require further clarification on any aspect of our program please reach out to us via our contact page, at your earliest convenience.

Explorer Information
Student Name *
Student Name
Parent Information
Parent / Guardian Name *
Parent / Guardian Name
Parent Phone Number *
Parent Phone Number
Home Address *
Home Address
Medical & Behavioral History / Information
Please be sure to answer each of the following prompts comprehensively, including any possible information you feel we may need to know. we appreciate your transparency.
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Please list any medical conditions, allergies, eccentricities, or possibly relevant information relating to the well-being of the program registrant.
Has your child been suspended or expelled from school? (In-school suspension, out of school suspension, expulsion) *
[*Please note that if the answer to this question is YES, that does not necessarily prohibit participation.]
Does your child receive any in-school support via a paraprofessional, aide, or exceptional education support professional? *
Questionairre
Please answer the following questions to the best of your ability.
Make new friends, Enjoy learning
What activities sound most interesting to you? (Note that your answers to this question are not set in stone, and only serve to assist with the program-planning process.) *
Finalize Registration
How would you like to provide payment? *
Have you read and do you accept the terms indicated by our authorization-release, and policies & procedures document? *
Before submitting your registration form, it is required you read and indicate your acceptance of the East Nashville Explorers' Authorization Release & Policies Documents. To view, please visit EastNashvilleExplorers.org/Authorization
Are you ready to finalize your registration and join the Explorers? *