Join Laurel's Only Homeschool-Hybrid Academy • Excellence in Learning Academy

How many children are you applying for?*

Please enter a number from 0 to 100.

Child 1

Child's Name*

First Last

Child's Date of Birth*

Child's Gender*

Female
Male

Grade Applying For

Child's Current School

Applying for Dyslexia Therapy?

Yes + School
Yes, Only
No

Child 2

Child's Name

First Last

Child's Date of Birth

Child's Gender

Female
Male

Grade Applying For

Child's Current School

Applying for Dyslexia Therapy?

Yes + School
Yes, Only
No

Child 3

Child's Name

First Last

Child's Date of Birth

Child's Gender

Female
Male

Grade Applying For

Child's Current School

Applying for Dyslexia Therapy?

Yes + School
Yes, Only
No

Child 4

Child's Name

First Last

Child's Date of Birth

Child's Gender

Female
Male

Grade Applying For

Child's Current School

Applying for Dyslexia Therapy?

Yes + School
Yes, Only
No

Child 5

Child's Name

First Last

Child's Date of Birth

Child's Gender

Female
Male

Grade Applying For

Child's Current School

Applying for Dyslexia Therapy?

Yes + School
Yes, Only
No

If you are applying for more than 5 children we will provide you with additional full applications at a later date.

Parent/Guardian Information

Parent or Guardian's Name*

First Last

Parent or Guardian's Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Email*

Names of other family members attending ELA, or other connections to ELA.

How did you hear about ELA?

Anything you'd like us to know?

Early registration is recommended as places are limited due to small class sizes. Registrations will be considered in the order in which they are received. Offers of places are subject to availability and the admission requirements of the School at the time offers are made. A copy of the current edition of the standard terms and conditions will be supplied on request.

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Become a part of

Excellence in Learning Academy

Applying for ELA

Child 1

Child 2

Child 3

Child 4

Child 5

Parent/Guardian Information

291 MAGNOLIA RD
LAUREL, MS 39443

601 · 470 · 2189

Become a part of

Excellence in Learning Academy

Applying for ELA

Child 1

Child 2

Child 3

Child 4

Child 5

Parent/Guardian Information

291 MAGNOLIA RD LAUREL, MS 39443

601 · 470 · 2189

291 MAGNOLIA RD
LAUREL, MS 39443