Learnwell Navigator Enrollment Form - Step 1 of 4

Homeschooling Parent Information

Parent Name *

First

Last

Email Address *

Confirm Email

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Number of students you'll be homeschooling with Learnwell in 2023-2024: *

How did you hear about the Learnwell Navigator Program? *

Please check below if you are an Overseas Worker

I am an Overseas Worker

Please Enter Overseas Worker Code

Please contact your agency's TCK education consultant or contact us at [email protected] to receive this code, which entitles you to reduced tuition.

Student Information

Student One Name *

Student Name

Birthday - Student One *

Birthday

Grade - Student One *

Kindergarten
Fourth Grade
First Grade
Fifth Grade
Second Grade
Sixth Grade
Third Grade
Seventh Grade

Grade Level for 2023-2024 Academic Year

LC Flag - Student One *

My Child Has No Specific Learning Challenges
My Child Has Specific Learning Challenges

LC Text - Student One

Please Describe Specific Learning Challenges

Second Student Name

Student Name

Birthday - Student Two

Birthday

Grade - Student Two

Kindergarten
Fourth Grade
First Grade
Fifth Grade
Second Grade
Sixth Grade
Third Grade
Seventh Grade

Grade Level for 2023-2024 Academic Year

LC Flag - Student Two

This Child Has No Specific Learning Challenges
This Child Has Specific Learning Challenges

LC Text - Student Two

Please Describe Specific Learning Challenges

Third Student Name

Student Name

Birthday - Student Three

Birthday

Grade - Student Three

Kindergarten
Fourth Grade
First Grade
Fifth Grade
Second Grade
Sixth Grade
Third Grade
Seventh Grade

Grade Level for 2023-2024 Academic Year

LC Flag - Student Three

This Child Has No Specific Learning Challenges
This Child Has Specific Learning Challenges

LC Text - Student Three

Please Describe Specific Learning Challenges

Fourth Student Name

Student Name

Birthday - Student Four

Birthday

Grade - Student Four

Kindergarten
Fourth Grade
First Grade
Fifth Grade
Second Grade
Sixth Grade
Third Grade
Seventh Grade

Grade Level for 2023-2024 Academic Year

LC Flag - Student Four

This Child Has No Specific Learning Challenges
This Child Has Specific Learning Challenges

LC Text - Student Four

Please Describe Specific Learning Challenges

Additional Students

We will be homeschooling more than four students through Learnwell Navigator

More Than Five Students Text

Please enter additional Names, Birthdays, Grades, and Learning Challenges here.

Membership Payment Schedule Selection *

Annually (Full Year in 1 Payment - due July 1st)
Monthly (Due the 1st of each month, beginning August 1st)

Current Membership Fees
Learnwell Navigator Membership is $149.00 per month per student.
Enrollment Fee is $100.00 per student ($200 max per family)

Current Membership Fees
Learnwell Navigator Membership is $99.00 per month per student for Overseas Workers.
Enrollment Fee is $100.00 per student ($200 max per family)

The Learnwell Navigator is currently offering an early enrollment discount!
Enroll by May 15th, 2023 and you will receive half off your enrollment fee.

Membership for a second or more additional students is only $45.00 per month.

Membership Summary for One Student
Your total due is $1,490.00 for the year. (Or $149.00 monthly, for 12 months)

Membership Summary for One Student
Your total due is $990.00 for the year. (Or $99.00 monthly, for 12 months)

Membership Summary for Two Students
Your total due is $1,940.00 for the year. (Or $194.00 monthly, for 12 months)

Membership Summary for Two Students
Your total due is $1,440.00 for the year. (Or $144.00 monthly, for 12 months)

Membership Summary for Three Students
Your total due is $2,390.00 for the year. (Or $239.00 monthly, for 12 months)

Membership Summary for Three Students
Your total due is $1,890.00 for the year. (Or $189.00 monthly, for 12 months)

Membership Summary for Four Students
Your total due is $2,840.00 for the year. (Or $284.00 monthly, for 12 months)

Membership Summary for Four Students
Your total due is $2,340.00 for the year. (Or $234.00 monthly, for 12 months)

* Additional fees due if over four students enrolled.

Mandatory Checkbox - SoF *

Statement of Faith - I understand that the Learnwell teachers and community will reflect these core beliefs

Note: Statement of Faith can be reviewed by clicking here.

Mandatory Checkbox - Tuition Policy *

I agree to pay all membership amounts for the services I will receive from Learnwell Home Education Collective. I understand that if I un-enroll any time after July 1st, 50% of the remaining tuition due for the year will be due to Learnwell.

Total Enrollment Fee

$0.00

This amount will be collected today. Upon submission of this form, you will be redirected to PayPal to securely process your funds payable to Intentional Education.

NavigatorEnroll

Homeschooling Parent Information

Student Information