Schedule your tour and discover the Calvary Preparatory Academy difference.

Miami Gardens, FL. – 33169

Phone : 305-770-3733

Email : info@calvarypreparatory.org

Calvary Preparatory Academy

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Enrollment Form

Please complete and submit the online Registration form below.

State of Florida
Department of Children and Families

CHILD CARE APPLICATION FOR ENROLLMENT

Students Full Name
Please enter in this format 01/01/2026
Sex
Please enter in this format 01/01/2026
Please enter street address here
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Please enter the primary hours of care E.g. 8am to 5pm
Days of the Week requesting Care:
Please select all the days your child will need care
Meals Typically Served While in Care
Please select the snacks you would like your child to be fed
Please enter who the child lives with primarily.
Please enter street address here
Enter City here
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Please Enter Employers name
Please Enter Cell phone number
Please enter street address here
Enter City here
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Please Enter Employers name
Please Enter Cell phone number
Who Custody of the Child
I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain emergency medical care if warranted
Please enter pediatricians name
Please enter street address here
Enter City here
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Enter Zip code here
Please enter Dentists name
Please enter street address here
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Child will be released only to the custodial parent or legal guardian and the persons listed below. The following people will also be contacted and are authorized to remove the child from the facility in case of illness, accident or emergency, if for some reason, the custodial parent or legal guardian cannot be reached:
Please List names here
Please provide address here
Please list phone numbers here
Please list phone numbers here
Please provide any helpful information about the child that would be useful
Section 65C-22.006(2), F.A.C., requires a current physical examination (Form 3040) and immunization record (Form 680 or 681) within 30 days of enrollment.
Section 402.3125(5), F.S., requires that parents receive a copy of the Child Care Facility Brochure, “Know Your Child Care Facility” (CF/PI 175-24), or
Section 65C-20.11(2)(c)(1), F.A.C., requires that parent(s) receive a copy of the family day care home brochure, “Selecting A Family Day Care Home Provider” (CF/PI175-28).
Section 65C-22.006(3)(c)2., F.A.C., requires that parents are notified in writing of the disciplinary practices used by the childcare facility, or
Section 65C-20.010(6)(c), F.A.C., requires that a written a copy of the family day care provider’s discipline policy be available for review by the parent(s).
Your signature below indicates that you have received the above items and that the information on this enrollment form is complete and accurate.
Please print name of Parent and individual completing the form
Please add date the form was completed. Format 01/01/2026