(Standard Contact List entry comprises adult first names, town/village and county, phone no., email address, year of child’s birth, and how child is educated.)
Name
1st Adult:
2nd Adult:
Address
No, Street:
Village/Town:
County:
Postcode:
Country:
Select a Country
United States
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D\'Ivoire
Croatia (Local Name:
Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
(Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern
Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mcdonald
Islands
Holy See (Vatican City
State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic
Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic
People\'S Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People\'S Democratic
Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former
Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated
States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The
Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak
Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The
South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen
Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic
Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United
Kingdom
United States Minor
Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Contact List Entry
Telephone:
Email:
EO's Admin Use
Telephone:
Email:
**
Local Authority:
Family Surname(s) to be Printed on Membership Card
1st Child
Name:
Year of Birth:
Educated:
Home Educated
At School
Flexi-School
2nd Child
Name:
Year of Birth:
Educated:
Home Educated
At School
Flexi-School
3rd Child
Name:
Year of Birth:
Educated:
Home Educated
At School
Flexi-School
4th Child
Name:
Year of Birth:
Educated:
Home Educated
At School
Flexi-School
(if you have more than 4 children, please email us with details).NB: Membership is for a family living at the address given. Only those people listed above, and on any email giving details of additional children, are EO members.
If the Adult(s) named above are happy to have occasional communication from an EO Local Contact (home educating volunteer) with local news and information, please select your preferred form of contact below:
Preferred contact:
By Post
By Email
By Phone
No contact wanted, thanks
** Communicating by Email saves the charity money
Section 2: Other Information - (Completion is optional)
Media Contact (Press/Media/TV):
Please put a cross in the box if you are willing to consider speaking with the media about home education and why/how you home educate please check this box
We will then pass your details onto EO's media team who may contact you if a media query arises in your area to check if you would be interested.
Contact with Your Local Authority:
(NB. Answer is anonymised and used for statistical purposes only)
EO's Government Policy Group is working to try to help protect the rights of people who will become known as home educators because of ContactPoint so it would be useful to have an idea of the proportion of knowns/unknowns.
Is your family known to the Local Authority?
EO Member's Area:
There are members forums available online for both adults and children. You can find out how to join here .
Section 3: Costs and Method of Payment
EO Family Membership runs for a year from receipt of your payment, a reminder notice will be sent by email and post. Please complete the payment section below to pay online. Donations are especially welcome as we work to a very tight budget. Every penny helps.
I wish to make an additional donation of £
0
5
10
15
20
25
(Please select amount - if you should wish to donate an amount different from what this form allows, please use the 'Donate Now' facility here . Don't forget, you still need to complete this form to join.
Please indicate if you want an addition Membership card at a cost of £1. The appropriate fee will be added.
Additional Home Education (Truancy) Cards are available at a cost of £1 each. Please indicate choose how
many you extra you want and the appropriate fee will be added.
Section 4: Gift Aid
The new gift aid rules make tax efficient giving easier. If you are a tax payer, please consider filling in this Gift Aid Form which allows EO to reclaim 28p (including transitional relief) in the £1.
Please complete the statement below, if you pay income tax, by selecting the appropriate response and entering your name and the date.
"I want the Charity to treat all donations I have made for the 6 years prior to this date, and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. "
"I want the Charity to treat all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. " (select this phrase if you prefer to start gift aid from declaration date).
Name:
Date:
You must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April one year to 5 April the next) that is at least equal to the amount of tax that the charity will reclaim on your gifts for that tax year.
You can cancel this declaration at any time by notifying Education Otherwise. Use the contact form or phone 08445 867541
In the future, if your circumstances change and you no longer pay income tax, you should cancel your declaration.
If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
The total payable is £
Your right to cancel
If you order online you have the legal right to cancel your subscription within seven working days of receipt of your membership pack. Return of the goods is at your own risk and cost. Recorded delivery is recommended as Education Otherwise cannot be held liable for returned items lost in the post. All items supplied by us must be returned to us in good condition and a refund will be applied to the credit/debit card originally charged less the cost of postage and an administration charge. Contact us to notify us of your wish to cancel and to make arrangements for return of membership pack.