Enrollment Interest Form Eagle Academy Enrollment form Enrollment Interest Form We would love to enroll your child! Please fill out this form and we will get in touch with you shortly. Parent/Guardian Name* Prefix First Last Suffix Please enter the name(s) of the Parent/Guardian of the child(ren) you want to enroll at Eagle.Additional Parent/Guardian Name Prefix First Last Suffix Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Child 1 - Name* Child 1 Birth Date*Grade level to enrollPreschoolKindergarten1st2nd3rd4th5th6thChild 2 - Name Child 2 Birth DateGrade level to enrollPreschoolKindergarten1st2nd3rd4th5th6thChild 3 - Name Child 3 Birth DateGrade level to enrollPreschoolKindergarten1st2nd3rd4th5th6thPayment Method* Out-of-Pocket Tuition llinois Department of Human Services Click HERE to check your IDHS eligibility.