Request Your Official ESA/EFA-Ready Course Invoice/Quote: NatureGlo's eScience (A Brooks eCommerce Solutions LLC Company)
Parent/Guardian 
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IMPORTANT: One Form Per Student Required

To comply with state-funded Education Savings Account and scholarship program requirements, we must provide a separate, individual invoice for each student.

If you are ordering for multiple children, please submit a separate form for each child.

Don't worry! After you submit this first form, a confirmation screen will appear with a simple link to quickly and easily start the request for your next child, if applicable. 

Student's Full Legal Name (One Student ONLY) 

CRITICAL FOR PAYMENT: Please enter the student's name exactly as it is listed on your ESA account or payment platform (e.g., ClassWallet). A mismatch may cause payment rejection.
 *
Student Course Login Email

Please provide the email address where you would like the student's login credentials sent.

Recommendation: For families with multiple students, we suggest using a unique email for each child. This provides a better, more personalized learning experience. PLEASE NOTE: Each child must have their own separate form submission.

If you prefer to manage everything under your own account, simply enter your parent email address below or put "N/A" to use the Parent/Guardian email provided elsewhere on this form.

Student Course Login Email (if using parent name and email for course login, put N/A here) *
Student Grade Level *
Student's ESA ID Number *
Dates of Service" / School Year
 
 *
Required
Parent/Guardian Full Name *
Parent/Guardian ClassWallet Email Address (Required for Invoice & Portal Payment) *
ESA/Funding State *
Select Your Course(s) for Invoice (For state funding (AL, AZ, AR, NH, SC), these courses are categorized as: Tuition and fees for an approved nonpublic K5-12 online learning program). *
All Sales Are Final - No Refunds Policy

Due to the digital nature of our online courses and the policies governing purchases made through state education savings account programs (including but not limited to Arizona ESA, Arkansas ESA, Alabama ETF, and New Hampshire ESA), all sales are final.

Once an invoice is submitted and payment is processed, no refunds, cancellations, or reversals will be issued.

We encourage parents and guardians to thoroughly review course descriptions, sample lessons, and technical requirements before completing their purchase. Please contact us at gloriabrooks@natureglosescience.com with any questions or requests for course samples prior to ordering.


I have read and agree to the All Sales Are Final - No Refunds Policy. *
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