Request Information

Thank you for your interest in Calvary Christian Academy Hollywood. Please fill out the form below and our Admissions Office will contact you within 1-2 business days. We look forward to speaking with you soon!

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Parent / Guardian Information
First Parent / Guardian Last Name * First Name * Salutation * Email Address * Gender * Male Female Cell Phone * (Ex: 999-999-9999)	Second Parent / Guardian (leave blank if not applicable) Last Name * First Name * Salutation * Email Address * Gender * Male Female Cell Phone * (Ex: 999-999-9999)

Home Address
Street Address City Country State Zip Home Phone (Ex: 999-999-9999) How Did You Hear About Us? * Details: Student 1 First Name * Last Name * Birthdate * (mm/dd/yyyy) Email Address * Gender * Male Female Grade Level of Interest * School Year * Current School What is the name of the most recent school the child has attended? * Is There Another Student? Yes No Parent / Guardian Notes