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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 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 *
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Salutation *
  • Email Address *
  • Gender *
  • 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 Calvary Christian Academy Hollywood?

    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  • What is the name of the most recent school the child has attended or is currently attending?

    *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •