Request Information

Thank you for your interest in Calvary Christian High School! Please take time to fill out this form where you will have the opportunity to request a tour, arrange a "shadow" date, or to receive information by mail. We look forward to hearing from you.

When filling out parent information, for two parent families, please list father first.

* Indicates a required field.

Parent/Guardian Information
*First Parent/Guardian
Salutation *

First Name *

Middle Name

Last Name *
Email Address *

Gender

Male Female
Work Phone

(Ex: 999-999-9999)

Cell Phone

(Ex: 999-999-9999)
Second Parent/Guardian
Salutation

First Name

Middle Name

Last Name
Email Address

Gender

Male Female
Work Phone

(Ex: 999-999-9999)

Cell Phone

(Ex: 999-999-9999)
How Did You Hear About Us?

Details:
Home Phone *

(Ex: 999-999-9999)
Street Address *
City *
Country *
State *
Zip *
Is there anything you would like us to know about this student?
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

ATHLETICS

BASEBALL BASKETBALL BOWLING CHEERLEADING CROSS COUNTRY FOOTBALL GOLF LACROSSE SOCCER SOFTBALL SWIMMING TENNIS TRACK VOLLEYBALL

FINE ARTS

BAND CREATIVE WRITING DANCE DRAMA PRAISE AND WORSHIP VIDEO PRODUCTION VISUAL ART VOCAL ENSEMBLE YEARBOOK

TECHNOLOGY

FUNDAMENTALS OF COMPUTER SCIENCE WEB DESIGN CYBERSECURITY ROBOTICS AP COMPUTER SCIENCE PRINCIPLES OF PROGRAMMING/APP DEVELOPMENT
Current School
I would like:

to schedule a tour. to schedule a shadow date. an enrollment booklet by mail.
Is There Another Student? Yes No
Parent/Guardian Notes

Type in the text that you see above (case sensitive):