Holy Spirit Child Development Academy Admissions Website Contact Form

1

Child's Full Name* This field is required.

2

Child's Date of Birth* This field is required.

Date

3

Parent/Guardian (1) Name* This field is required.

First Name

Last Name

4

Parent/Guardian (1) Email* This field is required.

example@example.com

5

Parent/Guardian (1) Phone Number* This field is required.

Please enter a valid phone number

6

Parent/Guardian (2) Name* This field is required.

First Name

Last Name

7

Parent/Guardian (2) Email* This field is required.

example@example.com

8

Parent/Guardian (2) Phone Number* This field is required.

Please enter a valid phone number

9

How would you like to receive information about the Academy's admissions process?* This field is required.

Email

Text Message

Other

10

Desired Start Date* This field is required.

Date

11

Would you like to join our waiting pool?* This field is required.

Yes - I would like to receive the waiting pool admissions packet and pay the $100 non-refundable application fee to secure my child's space in the waiting pool

Undecided - I will make my decision to join the waiting pool after touring the Academy (we will assign the waiting pool admissions packet for you to review)

No - I am only interested in an available space / I need a space as soon as possible

Other

12

Have you toured the Academy?* This field is required.

Yes

I have a tour scheduled

No

Other

13

Would you like to schedule a tour?

Yes

No

Other

14

How long do you plan on your child being enrolled at the Academy?* This field is required.

Until they attend pre-kindergarten or VPK

Until they attend kindergarten

2 to 3 years

Until we can enroll in another early education program/childcare center closer to our home/work

Other

15

How did you hear about us?* This field is required.

Search Engine

Word of Mouth

Referral by a friend or family member

Referral by a Catholic parish or the Pensacola-Tallahassee Diocese

Social Media

Other

16

Are you interested in attending classes or events hosted by the Academy about topics such as child development, parenting, and the spiritual life of the child?* This field is required.

Yes

No

Other

17

Is your family Catholic?* This field is required.

Yes

No

Other

18

Are you active parishioners at a Catholic parish?* This field is required.

Yes

No

Other

19

What Catholic Parish?

20

Do you have a home church?

Yes

No

Other

21

What is the name of your home church?

22

Would you be interested in making Holy Spirit Catholic Church your home parish?* This field is required.

Yes

No

Holy Spirit Catholic Church is my home parish

Other

23

Are you interested in baptism classes?* This field is required.

Yes

No

My child has already been baptized

Other

24

What are your expectations surrounding the Holy Spirit Child Development Academy?

25

Do you have any questions or would like to discuss something specific with the administrative staff?