2020-2021 Enrollment Packet form

Basic Enrollment Information

Some of the information in this section will be used to help populate other fields in this form. Please fill out as much information as possible.

Student Information:

(Student must be 5 years of age by August 1st to enroll in Kindergarten)

Student's Assigned Gender:

Grade level for 2020-2021 school year:

Student's Ethnicity/Race:

Is the student Hispanic/Latino?

(Check all that apply)


Senate Bill 603 (2018) and House Bill 1606 (2018) created new requirements for local school districts related to virtual education and access to these courses. EAGLE College Prep has developed a system in order to be in compliance with these new laws. Beginning in January 2019, any student in kindergarten through 8th grade enrolled in the EAGLE College Prep who was also enrolled as a full-time scholar the previous semester can opt to take a course virtually through the District-approved provider. Contact for more information: 314.202.0301

Guardian & Household Information:

Student lives with:

Additional Family and Emergency Contact Information:


Desired EAGLE location:

School to attend:

Previous School's Information:

Is the student currently suspended or expelled from any school in this state or any other state?

Retention Information:

Was your child ever retained?

If yes, please provide the following information:

Sibling Information:

Does the applicant have a sibling currently attending EAGLE?

(Sibling must be currently enrolled during the 2020-2021 school year to qualify for sibling preference. Please list name and grade below.)

Homeless Status:

Are you sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason?

Are you currently residing at a motel, hotel, in a car, or at a campsite because your home has been damaged or because of economic reasons?

Are you currently residing in a shelter?

Are you currently living in a temporary housing arrangement due to economic hardship?

Migratory Status:

Has either the parent or guardian, or the child been employed within the past three years or are currently employed in some form of temporary or seasonal agricultural or agricultural-related work such as:

· planting or harvesting crops
· cutting firewood or logs to sell
· feeding or processing poultry
· beef
· hogs
· transporting farm products to market
· working on a dairy or a catfish farm
· gathering eggs or working in hatcheries

Did your family move from one school district to another for the purpose of looking for obtaining any of the above jobs?

Have you moved away with your child during only the summer months to engage in crop harvesting or other seasonal agricultural work?

Military Status:

A student residing in the house of a person (family) who is on active duty or serving in the reserve component of a branch of the United States Armed Forces. Include children who are living with family due to parents being deployed.


Student's Name:


1.) Does or has your child ever received gifted education?
2.) Does or has your child ever been identified or received services for English Language Learners (ELL)?
3.) Has your child been screened for special education by the public schools?
4.) Does your child receive services under section 504 of the Rehabilitation Act of 1973?

If yes, please provide us a copy of the 504 plan.
5.) Was your child ever enrolled in a Special Education Program at his/her previous school?
(resource, speech, language, occupational therapy, physical therapy, etc.)
If yes, please answer the following questions:
Do you have a copy of your child's most recent IEP (individualized Education Plan)?

What is or was your child's diagnosis?

Please complete the following so we may obtain more information on your child's IEP:


Student's Name:


Person completing survey:
1.) Is a language other than English spoken in your home or the home of a close relative?

2.) Did the student learn another language before English?

3.) Can the student speak a language other than English?

If yes, which language does your child understand best?
4.) Which language does the student use most often when speaking to friends?

5.) Which language does the student use most often when speaking to his/her parents?

6.) Which language does the student use most often when speaking to other family members?

Parent Consent for Placement

It might be necessary to give your child an English language proficiency test. If the results indicate that your child meets district criteria for ELL services, would you allow your child to receive English language instruction to help him/her learn English more quickly?

Student Health Information

Student's Name:

Date of Birth:


Medical Conditions/Allergies (Check all that apply and describe – list medications below)

Please note: any food allergy that needs to be accommodated will require a Medical Statement for Special Meals Form, available at the main office.

Please indicate any of the following conditions your child has suffered, in the past or present:

Physical Conditions (Check all that apply and describe – list medications below)

Student wears/uses:

*A doctor's note is required for PE/recess exemptions every year.

Behavioral/Emotional Diagnoses (Check all that apply – list medications below)

Medications/Prescriptions (List all medications taken at home and school on an ongoing basis.)

*All prescribed medication and doctor's orders must be on file in the school office in order to dispense medication.


Sworn statement/affirmation by parent/guardian of a student enrolling in EAGLE College Prep.

The school shall follow and implement the Safe School Legislation House Bill Numbers 1301 and 1298 for all students in the school. As part of that implementation, the school shall require that the parent/guardian sign this sworn statement indicating that their child is not on a current suspension and has never been expelled from a school for offense in violation of school board policies relating to weapons, alcohol or drugs, or for willful infliction of injury to another person.

If the student is under a current suspension, or has been expelled, he or she will not be allowed to attend school. The parent/guardian may request a conference with the principal to be considered for enrollment in our school.

Parents/guardians signing this sworn statement must tell the truth. The school may recover, through lawsuit, costs of school attendance of pupil whose parent/guardian signed and filed a false sworn statement. False statements are criminally sanctionable as a misdemeanor.

, shall be accountable for the past and present behavior of my child. I understand and consent to the responsibilities that are outlined in the EAGLE College Prep discipline policies. I also understand and agree that my child, , shall be accountable for the behavior and consequences outlined in the EAGLE College Prep discipline policies at school and at school-related events. I understand that any student who violates the EAGLE College Prep discipline policies will be subject to disciplinary action.


I have read and understand the school regulations governing my child's and other students' use of technology in school. I further understand that, although the school will take practical and reasonable precautions to attempt to ensure that students use technology properly, it is impossible for the school to guarantee that students will access and use technology properly in school. Therefore, I agree not to hold the school responsible for any improper use of technology in school by my child or by any other student to which my child may be exposed.

I further understand that 1) my child's violation of these regulations may result in suspension or revocation of his/her technology access privileges, disciplinary or legal action; 2) his/her use of technology s not private and that all data stored on the school's technology resources, including deleted files, may be fully monitored and accessed by the school; and 3) I agree to be responsible for any unauthorized costs incurred or damages inflicted to the school as a result of my child's use of technology.



EAGLE College Prep occasionally publishes pictures and videos of students involved in school activities. Publications may include class newsletters, school newsletters, brochures, flyers, newspaper ads, the EAGLE College Prep website, Facebook page, etc.

Please note:

  • Any picture or video of a student posted to the website or Facebook page, whether individual, group or team will not include personal information (i.e. name, grade etc.)
  • Some of these pictures or videos may be action or candid shots taken during participation in an event. Other pictures or videos may be staged for specific purposes.
  • Group shots such as class or team pictures may be posted to the website and may be identified by team or class name, but no individual names will be included.

, I hereby consent to authorize EAGLE College Prep to use and produce ANY AND ALL PHOTOGRAPHS AND VIDEOS taken of this student for EAGLE College Prep publications without compensation to me. ALL PROOFS and PRINTS will be EAGLE College Prep's property solely and completely.

, I withhold permission for EAGLE College Prep to use my student's pictures or videos for any EAGLE College Prep publications as noted above.



Student's Name:

Date of Birth:


In consideration of allowing my child to participate in activities associated with EAGLE College Prep, I/we shall release, waive, discharge and covenant not to sue EAGLE College Prep, their agents and employees, from all liability from any and all loss or damage and any claim or demands thereof on account of injury to the person or property or resulting in death of the name participant except in the case of gross or willful wanton negligence of EAGLE College Prep, it agents and employees or otherwise while the named participant participates in the playground/school grounds and vicinity at EAGLE College Prep.

I/we further agree to indemnity EAGLE College Prep, their agents and employees from any and all liability, loss or damage including but not limited to bodily injury, illness, death or property damage which EAGLE College Prep, their agents and employees become legally obligated to pay including reasonable attorney's fees and costs, as a result of claims, demands, costs or judgments against EAGLE College Prep, their agents and employees on account of injury to the person or property resulting in the death of the named participant except in case of gross or willful wanton negligence of EAGLE College Prep, their agents or employees and whether or not such liability is sole, joint or several.

I/we am (are) aware that participation on the
playground may present a strain on my child's body, or its parts and there I/we represent to EAGLE College Prep, that to the best of my knowledge, my child is in proper physical condition to allow him/her to participate and that I/we assume the risk of participating. I acknowledge that I have received information concerning playground/school grounds and vicinity activities given with registration, including the absence of medical personnel as it pertains to the playground and other programs.

I/we understand that in case of injury or illness, I/we will be notified. If it is impossible to contact me and it's an emergency, I/we hereby give permission to the staff of EAGLE College Prep to seek treatment for my child. Furthermore, I/we give consent for the attending physician to treat, hospitalize, administer anesthesia or to order injections or surgery for the safety of my child. I/we further agree the privileges may be revoked upon any participants at the sole discretion of the supervisor. I/we, the parent or legal guardian, the undersigned, have read this release and understand all its terms. I/we execute it voluntarily and with willful knowledge of it significance. I/we have executed this release on this date indicated next to my name.

I authorize EAGLE College Prep to release my child, and information regarding my child, to the following adults:


Your signature at the bottom of this page grants the sending school permission to forward your student's school records to EAGLE College Prep for enrollment.

To School Records Clerk:

Please send information for the following student:

Student's Name:

Date of Birth:

This student has submitted an enrollment application to EAGLE College Preparatory School for the 2020- 2021 school year.

Please provide all records, including:

• Grades/Report Cards
• Standardized Test Scores/Assessment Data
• Attendance Records
• Medical Records
• Discipline Records
• Special Services (most recent IEP, diagnostic screenings/testing)
• Withdrawal Grade
• Date Last Attended
• MOSIS ID (if applicable)

Please forward all records and information pertaining to this student to the School Registrar by fax at 314-664-6250 or by mail at 3716 Morgan Ford Road, St. Louis, MO 63116. The information listed is required for the enrollment process to continue. Thank you in advance for your immediate attention to this matter.


EAGLE Families are responsible for arranging transportation for their scholar(s) to and from school as the school does not provide bus transportation. Scholars will only be allowed to walk home or ride the Metro bus to and from school, unescorted, with prior parental consent.

Please indicate your scholar's pick up preference below (by car in the car pick-up line, from the classroom, or if they will be attending Compass Educational Programs after school). To find out more about Compass, please visit: https://compassedprograms.org/stlouis.





CAR RIDERS: On Flight Night, parents/guardians will be provided with a yellow tag. This tag should be placed in the front window of your vehicle so that staff members can call for your scholar to come outside. More information will be provided by your campus over the summer.

Grades 4 – 8 only

EAGLE Families are responsible for arranging transportation for their scholar(s) to and from school as the school does not provide bus transportation. Scholars will only be allowed to walk home or ride the Metro bus to and from school, unescorted, with prior parental consent.

Occasionally scholars may walk with their class to nearby venues or local park for a field trip. A specific field trip or permission slip will be sent home in that case.

Your signature at the bottom of this page grants permission for your scholar to walk by themselves on a regular or daily basis to do the following, check all that apply:

Student Last Name:

Student First Name:

Grade level for 2020-2021 school year:

This form must be on file in the office prior to the first day that your child is permitted to walk home. Students walking or riding the bus MUST check out with an administrator or the teacher before leaving school grounds. VERBAL REQUESTS WILL NOT BE ACCEPTED.


Scholars are expected to be picked up by their parent or another designated adult promptly at the end of the school day. Pick up is from 3:15-3:30 Monday-Thursday and 2:00-2:15 on Friday. At the time that a scholar has accumulated ten (10) or more late pick ups during the school year, the parent/guardian may be required to appear before the Regional Executive Director and/or Board of Directors to discuss consideration of the scholar's continued enrollment status. A parent/guardian must notify the main office immediately if the scholar's pick up will be late. After the pick-up times listed above, any scholar remaining at the school, and not enrolled in an after-school program or activity, may be dropped off at the local police precinct, and the St. Louis City Juvenile Police Department will be notified. [EAGLE Family Handbook, P. 10]

EAGLE Families are responsible for arranging transportation for their scholar(s) to and from school as the school does not provide bus transportation. Scholars will only be allowed to walk home or ride the Metro bus to and from school, unescorted, with prior parental consent. All students must be picked up by 3:30pm on Monday through Thursday, and by 2:15pm on Friday.

  • I have read and I understand the dismissal and late pick up procedures and guidelines in the Family Handbook and agree to abide by the rules stated therein.
  • In the event that my scholar will not be picked up in the time frame stated in the Family Handbook, I consent and understand that at the sole discretion of the EAGLE administrative team, my scholar may/ will be enrolled in Late Pick-Up Aftercare, and I agree to pay the service rate of $0.25 per minute thereafter until my scholar is picked up, payment to be made in full promptly at the time of pick up, and/or a payment term not to exceed two weeks.
  • I consent and understand that any overdue balance must be paid prior to my and/or my scholar's participation in any EAGLE extracurricular activities or school sponsored events
  • I understand that at any time which my scholar is not picked up during the time frame stated in the Family Handbook, and the EAGLE team has deemed the late pickup to be in excess, the EAGLE team may/will contact the St. Louis Police Department, and my scholar may/will be dropped off at the nearest precinct for pickup

By signing at the bottom of his page I acknowledge and consent to the aforementioned stipulations and to communicate with the EAGLE administrative team if the pick-up/ dismissal times are prohibitive to me in any way, and I agree to meet with the administrative team to collaborate on solutions up to and including my scholar's continued enrollment.

IF YOU NEED AFTER-SCHOOL CARE FOR YOUR SCHOLAR, AFTER SCHOOL CARE IS OFFERED ONSITE BY COMPASS EDICATIONAL PROGRAMS. To find out more about Compass, please visit: https://compassedprograms.org/stlouis


School and Staff Commitment:

EAGLE teachers and staff commit to the following:

  • High Quality Education:  We commit to providing a high-quality education for our scholars, using high-quality instructional materials based on the latest research and best practices in the field of education.  We commit to providing highly qualified teachers in a supportive learning environment to enable all scholars to meet the Missouri Learning Standards. We commit to providing our teachers with high-quality professional development and feedback to continually improve their craft.
  • Support and Collaboration:  We will appreciate, support, and respect every scholar and their family.  We will provide families with opportunities to volunteer and participate in their scholar's class and to observe classroom activities.
  • Communication:  We will communicate regularly with parents about their child's progress and make ourselves available in person and by phone or email.  We will encourage two-way, meaningful communication between family members and staff, and communicate, to the extent practicable, in a language that family members can understand.  We will hold regular parent/teacher conferences to discuss your child's progress and provide ways to support your scholar academically at home. We will provide regular newsletters, assessment data, and quarterly report cards for your scholar.  We will communicate with civility and respect and will expect the same in return.
  • Homework:  We will assign relevant, meaningful homework every night to reinforce the skills and concepts learned in class. We encourage families to be active members of their local library branch and to provide books and/or other reading material for their scholar to complete the nightly reading assignment.
  • Fairness:  We will enforce EAGLE's virtues consistently and fairly. When scholars are disciplined or when scholars deserve recognition for their accomplishments, we will promptly inform parents.
  • Safety:  We will protect the safety, interests, and the rights of all individuals. Our scholars are our primary responsibility and their safety is our utmost priority.  We will strive daily to maintain a safe and positive school climate.
  • Virtues:  We will live by, model, and teach the virtues of Respect, Courage, Justice, Integrity, Perseverance, Self- Sacrifice, and Diligence each and every day.

We understand these guidelines and commit to upholding them to the best of our abilities, in the best interest of EAGLE scholars and the school community as a whole.

Dr. Laura Brock, Principal Tower Grove South

Amanda Bell-Greenough, Principal Fox Park

Emily Dittmer, Principal Tower Grove East

Kayla Case, Principal Gravois Park


Without taking shortcuts, or making excuses, I commit to EAGLE College Prep in the following ways:

  • I will attend school every day.
  • I will do my homework every day and ask for help when I need it.
  • I will take pride in wearing the EAGLE uniform daily and follow the school dress code.
  • I will be responsible and safe toward others, actively monitoring my voice and body.
  • I will be respectful of my fellow classmates and my teachers.
  • I will show courage by taking on challenges.
  • I will show justice by being mindful of others.
  • I will show integrity by always telling the truth and accepting responsibility for my actions.
  • I will show responsibility by completing my work to the best of my ability and being accountable to my teachers.
  • I will show self-sacrifice by putting others' thoughts and feelings above my own.
  • I will show diligence by setting goals and working hard to reach these goals.  I will try my best, even when it is hard.

I understand these guidelines and commit to upholding them to the best of my abilities, in the best interest of EAGLE scholars and the school community as a whole. 

Parent's/Guardian's Commitment:

I will support my child's learning in the following ways:

  • I will make sure my child is in school every day.
  • I understand that my scholar is expected to have 95% attendance.
  • I will listen to my child read daily.
  • I will praise my child's efforts.
  • I will check to see that homework is completed and is done with accuracy and in a timely manner.
  • I will attend all required conferences and meetings.
  • I will promote positive use of my child's extracurricular time and activities.
  • I will stay informed about my child's education by reading all communications from the school and responding appropriately.
  • I will insist that my child accepts responsibility for his/her own learning and conduct.
  • I will reinforce academic excellence with my child and provide a quiet time and appropriate place at home for study and reading.

I will actively participate in the school community by volunteering for school sponsored events, to the extent possible.