Holy Spirit Child Development Academy Admissions Website Contact Form

1
Child's Full Name
2
Child's Full Name* This field is required.
First Name
Last Name
3
Child's Date of Birth* This field is required.
Date
Month
Day
Year
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
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The Bahamas
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Christmas Island
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Cook Islands
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Finland
France
French Polynesia
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The Gambia
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Greece
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Iran
Iraq
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Israel
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Japan
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Jordan
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Kenya
Kiribati
North Korea
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Kyrgyzstan
Laos
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Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Mali
Malta
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Martinique
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
Seychelles
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Somalia
Somaliland
South Africa
South Ossetia
South Sudan
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Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Parent/Guardian (1) Name* This field is required.
First Name
Last Name
6
Parent/Guardian (1) Email* This field is required.
example@example.com
7
Parent/Guardian (1) Phone Number* This field is required.
Please enter a valid phone number
8
Parent/Guardian (2) Name* This field is required.
First Name
Last Name
9
Parent/Guardian (2) Email* This field is required.
example@example.com
10
Parent/Guardian (2) Phone Number* This field is required.
Please enter a valid phone number
11
How would you like to receive information about the Academy's admissions process?* This field is required.
Email
Text Message
12
Desired Start Date* This field is required.
Date
Month
Day
Year
13
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
14
Have you toured the Academy?* This field is required.
Yes
I have a tour scheduled
No
Other
15
Would you like to schedule a tour?
Yes
No
Other
16
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
17
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
18
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
19
Is your family Catholic?* This field is required.
Yes
No
Other
20
Are you active parishioners at a Catholic parish?* This field is required.
Yes
No
Other
21
What Catholic Parish?
22
Do you have a home church?
Yes
No
Other
23
What is the name of your home church?
24
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
25
Are you interested in baptism classes?* This field is required.
Yes
No
My child has already been baptized
Other
26
What are your expectations surrounding the Holy Spirit Child Development Academy?
27
Do you have any questions or would like to discuss something specific with the administrative staff?
28

Florida Catholic Conference Accredited School

Religious Exempt Status X01ES0063

The Holy Spirit Child Development Academy is a child care facility operating under an exemption pursuant to the laws of the State of Florida and is not subject to licensure or regulation by the Department of Children and Families.
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