Enrollment We value your child’s education, and we take pride in what we do. We believe there is no better school for your child to be apart of than Eagle’s Nest Academy. Take action and enroll today. Enrollment Application Student's NameFirstMiddleLastGrade Enrolling at ENA Age Birth Date Gender Male Female Select an option from the dropdown menu Address Street Address, City, State, Zip, P.O. Box #Email AddressTelephone Number Area Code and Number Cell Phone Number Area Code and Number School Last Attended Name of School, City, and StateDid your child attend preschool? YesNo Preschool Attended, Amount of years attended (If Applicable)Did your child attend HeadStart?Yes NoDoes your child have or need accomodations?YesNoIf so, please indicate what accomodations your child may have/need.Does your child have a current I.E.P.? (Only pertains to special education students)YesNoIf yes, please fill out Consent Form for Release of Student Records, Files, Data and Behavior Records.Has your child ever been suspended, expelled or have a behavior plan from another school district?YesNoIf yes, please fill out behavior release sheet, provide information and behavior plan/contract. Please fill out Behavior Records Release Form. **Board Policy No. 5111 authorizes the Director to deny admission to any student who has a record of bevaior that s/he believes would constitute a threat to the safety and well being of fellow students and staff. How did you hear about the Academy?(Social Media, Newspaper, Friend, etc.)Name of Parent(s)Employer Phone Number Cell Phone Emergency ContactName, and Phone Number My student may not leave with: Name and Reason Present Living Situation Own Home Renting Home ShelterMotel/Hotel Car Campsite/Camper Mobile Home Park With More than one family in a house/apt due to financial reasons Select an option from the dropdown menu With whom does this child reside? Mother Father Stepfather Stepmother Guardian Grandparent Check all that applySiblings in Family Name, Age, and Grade Siblings Attending ENA Name, Age, and Grade Please Type Name as Your Electric SignatureBy signing, you are agreeing that all of the above information is correct WebsiteSubmit Bus Route Request Form Received Date Office Use OnlyEffective Date Office Use Only Bus Route (Please allow 3 working days for implementation)Office Use Only Name of Student Last Name, First Name, Middle Initial SchoolGrade DOB Name of Parent/Guardian AddressStreet Address, Apt #, City, State and Zip Code Primary Phone Is this a home number or daycare number?Home DaycarePlease check one option Alternate Phone Is this a home number or daycare number?Home Daycare Please check one option Alternate AddressIs this a home address or daycare address?Home Daycare Emergeny ContactPlease list a different contact than in parent/guardian section Phone Please list a phone number associated with emergency contact AddressPlease list an address associated with emergency contact Days of the week Monday TuesdayWednesday Thursday Friday Check all that applyPick up my child at the nearest bus stop location to:Drop off my child at the nearest bus stop location to:Is this a home address or daycare address?Home Daycare Please check one optionIs this a home address or daycare address?Home Daycare Please check one option I certify that I have read the student transportation handbook and I understand that if my child has an infraction of the rules that suspension from transportation may result.YesNoCommentsParent Electric Signature CommentSubmit