Quarter 1 Lesson Enrollment
This form is for enrollment in lessons and units that start between AUGUST through OCTOBER.

Four Simple Steps to Enrollment
1. Complete the basic enrollment information. You must complete the form individual for each student.
2. Select the course, or courses, that the student is enrolling in.
3. Select your payment option.
4. Check your email within 48 hours for an invoice for your enrollment OR an email confirming your enrollment in the "enroll now, pay later" option.

1. What is the home educator's name? (your name) *
Your answer
2. What is the home educator's email address? (Note: this email address will be used to send enrollment confirmation, invoices, and other items related to the course. You will also be registered for our monthly email to stay up-to-date with Education Revolution) *
Your answer
3. What is the student's name? *
Your answer
4. What grade is the student in? *
5. What is the student's email address? (optional)
Your answer
6. If you would like text alerts before the start of your course, or other important items related to this course, please provide your cellphone number. (optional)
Your answer
7. Are you enrolling in our annual membership program?
NOTE: Annual membership provides for the needs of all core classes for students from grades K-12 for a flat fee.
8. Which courses is the student enrolling in? *
9. Are you enrolling for more than one unit for a discount? If so, indicate so below. If not, feel free to skip this question.
10. Which payment option would you like? *
11. Anything you think we should know so we can plan to make your student's experience exceptional? (optional)
Your answer
This is an Education Revolution experience.
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Please see our refund, cancellation, and technical difficulties policies (because life happens)
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