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Thank you for your interest in Calvary Adventist School!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • 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:
  • Our school will be opening in the Fall with Vitural/Distance Learning.  What are the most important things you are looking for in Virtually/Distance Learning program?

    (mm/dd/yyyy)
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Dance
    Martial Arts
    Music
    Sports
  • Current School
  • What are you likes and dislikes of Virtual Learning?

    (mm/dd/yyyy)
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •