Passwords must be at least 8 characters long and include at least 1 alpha (A to z), 1 number (0 to 9), and 1 of these special characters: ~!@#$%^&*()"'*+,-/:;<=>?|{}[].

Usernames must be at least 6 characters long.

Family: The Sample Family

Request Membership in this Organization!

Fill out the form below and click the Continue button at the bottom.

In the box at the bottom of this form, please indicate which program(s) you are registering your child(ren) for. Nursery, Sprouts, Elementary - A.M., Lower Elementary - P.M., Upper Elementary (ages 9-12) P.M., Flight School (Middle School - A.M., P.M. or both)

indicates a required field

Primary Last Name Primary First Name Primary Email Family Username
Family Password
Confirm Family Password Secondary Last Name Secondary First Name Address City State / Province Zip / Postal Code Timezone Phone Enable Text Messages

By providing your phone number, you agree to receive transactional and/or informational SMS messages from Eagles' Nest - Homeschool Co-op. Message and data rates may apply. Reply STOP to unsubscribe.

Upload Family Photo (Optional) .jpg, .gif or .png

Children

First Name

Last Name

Birthdate

Grade

Student Email/Username

Child Phone (Optional)

Enable Text Messages

Child is able and agrees to receive text messages at this number.
We understand carrier message and data rates may apply.

Medical Notes/Allergies? Yes No

Upload Child Photo (Optional) .jpg, .gif or .png

Add Child

Show Child information to other Families
Note: Child information will be available to instructors in either case.

Curriculum/Teaching Style Year you Started Homeschooling Privacy: Include my family information in the membership on-line directory? Yes No Weekly Email Update: Would you like to receive a weekly email update? Yes No
Message to Homeschool Group Administrator:

Payment Instructions

Please contact our director Melanie Harmon - (712) 898 - 6638 - to arrange payment.

EAGLES' NEST Homeschool Co-Op

EAGLES' NEST Homeschool Co-Op

Request Membership in this Organization!

Children

Payment Instructions