Please enable JavaScript in your browser to complete this form. - Step 1 of 3Father's Name *FirstLastMother's Married Name *FirstLastAddressCity *State *ZIPHome Phone Number *Cell Phone Number *E-Mail Adddress *Father's OccupationMother's OccupationMarital StatusNextChildren you are enrolling. First NameLast NameBirthdayGradeFirst Name Last Name Birthday Grade First Name Last Name Birthday Grade First Name Last Name Birthday Grade First Name Last Name Birthday Grade Why are you homeschooling?NextWhy do you want to join EIE Academy?How long have you been homeschooling?How long do you want to homeschool?Are you a member of HSLDA, if so your number?Father's SignatureMother's SignatureTuition:Cash Payment: Can only be made at EIENew Student Fee: $20.00 per student, $40.00 family maximumCheck NumberHigh School Fee: $40.00 per high school student, maximum $80.00Total Amount DuePayPal *To submit enrollment on line:To mail in enrollment:Credit Card NumberExpiration DateCCV (Security Number)Mailing AddressEmailSubmit