Drew Central High School Registration Form
Welcome to Drew Central High School!

Please complete this form if you wish to enroll a new student in the Drew Central High School in grades 09 - 12 for the 2020-2021 school year.

In the next few days, you will receive additional information in how to complete the registration process.

For more assistance, please call Randy Luper, Registrar, at 870.367.5511.
Name of Parent/Guardian filling out the form *
Student's First Name *
Student's Middle Name *
Student's Last Name *
Grade for 2020-2021 School Year *
This is the grade your student will be in for the upcoming school year.
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Student's Social Security Number *
Student's Race *
(Check all that apply)
Required
Hispanic/Latino Ethnicity *
Student's Physical Address *
Remember to include any apartment number, lot number, city and zip code.
Student's Mailing Address *
If the physical address and the mailing address are the same, please skip this question. If they are different, please complete both questions. Remember to include any apartment number, lot number, city and zip code.
First & Last Name of Parent/Guardian 1 *
Relationship of Parent/Guardian 1 to Student *
Parent/Guardian 1: Phone Numbers *
Please include your area code.
Parent/Guardian 1: Email Address *
First & Last Name of Parent/Guardian 2 *
Relationship of Parent/Guardian 2 to Student *
Parent/Guardian 2: Phone Numbers *
Please include your area code.
Parent/Guardian 2: Email Address *
With whom does the student live? *
Last School the Student Attended *
Please include school name, city & state.
Submit
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