Calvary Online School online high school logo
 
Calvary Online School Pre-Enrollment Form

 
Thank you for your interest in enrolling with Calvary Online School. Please tell us a little bit about yourself and an enrollment representative from the school will contact you shortly.
 
 
Student First Name
 
Middle Name
 
Last Name
 
Address
 
City
 
State
 
ZIP
 
Home Phone 777 777-7777
 
Email
 
Grade:
 
Gender:
 
Ethnicity:
 
Date of Birth
 
Learning Accommodations: Note IEP 504 etc
 
Primary Guardian First Name if student is less than 18
 
Guardian Last Name
 
Guardian Phone 777 777-7777
 
Guardian Email
 
Are you interested in full time enrollment or single course enrollment?
 
When would you like to start?
 
What questions do you have that an enrollment representative can answer?