ESA Funds Request Form

💰 Education Savings Account (ESA) Funds Request Form

Complete this form only if you're using ESA funds for the Homeschool Co-op Program

ESA Program Information

This form is for families who would like to use their Education Savings Account (ESA) funds to cover tuition for the Àbulę Homeschool Co-op Program.

$2,560 per school year

⚠️ If you would like to use ESA Funds for our Accredited Program, please do NOT complete this form.

Click here to complete the Accredited Program Application

Please complete the form with information that matches your ESA/ClassWallet account to ensure smooth processing. After submitting, you will receive a personalized invoice by email to upload to your ESA platform. Once payment is received, we'll email you a unique registration code to officially enroll and begin setting up your student's account.

Important: Be sure to check your spam or promotions folder if you don't see your invoice within 7-14 business days.

ESA Funds Request Form

Student Information

State

First Name

Last Name

Grade Level

Parent / Guardian Information

Please provide parent or guardian information exactly as it appears on your ClassWallet account. Be sure your email address is accurate, as this is where we will send your invoice for processing through ClassWallet.

First Name

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country