Online Course Request Form
Welcome to the world of online learning. Students and parents should understand that online learning is designed for a self-motivated student. CHS does not provide tutoring or extra help for online courses. In addition, students who do not achieve a C or better in their previous online class may not be allowed to take another online course.

Please complete the registration form below and return it to your counselor in Student Services.
Requests for online courses (21F) must be made prior to the school year in which the course will be taken, or your request may not be granted. Complete information is required for registration.
Email address *
Last Name *
First Name *
Grad Year *
Address *
Address, City, State, Zip
Home Phone *
(xxx) xxx-xxxx
Date of Birth *
MM
/
DD
/
YYYY
Class(es) Requesting *
Semester *
Required
Requirement Class is Fulfilling *
Digital Signature
By signing this registration form, I am assuring my school that I:

*Have read the course description.
*Have read and agree to abide by the Michigan Virtual Learning Code.
*Understand that my online teacher grades my work and recommends my final grade.
*Understand that my school reserves the right to assign my final grade and credit for this course.
*Students who fail the final exam of an online course, regardless of the final grade, may be restricted from taking future online courses.
Student Signature *
Parent Signature *
A copy of your responses will be emailed to the address you provided.
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