Enroll

To enroll your child, fill out this application.

If you are interested in the preschool program, complete the Interest Form.

Student's First Name

Student's Middle Name

Student's Last Name

Student's Date of Birth

Fall 2026 Expected Grade Level

Street Address

City

State

Zip Code

Would you like to add another student? (The student lives at the same address and has the same legal parents/guardians.)

No Yes

Student 2 First Name

Student 2 Middle Name

Student 2 Last Name

Student 2 Date of Birth

Student 2 Fall 2026 Expected Grade Level

Parent First Name

Parent Last Name

Parent Phone

Parent Email

Would you like to add another parent?

No Yes

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone

Parent 2 Email

Questions or Additional Information

How did you hear about East Hills Academy?

I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief.