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Central High School Returning Student Registration Form
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Middle Name:
Your answer
Last Name:
*
Your answer
Grade (2025-2026 )
*
7th
8th
9th
10th
11th
12th
Parent/Guardian 1:
Name:
Your answer
Parent/Guardian 1:
Relationship to Student:
Your answer
Parent/Guardian 1:
Mailing Address:
Physical Address:
Your answer
Parent/Guardian 1:
City:
Your answer
Parent/Guardian 1:
State:
Your answer
Parent/Guardian 1:
Zip Code:
Your answer
Parent/Guardian 1:
Cell Phone:
Your answer
Emergency Contact
Name:
*
Your answer
Emergency Contact
Cell Phone:
*
Your answer
Emergency Contact 2
*
Your answer
Emergency Contact 2 (cell phone)
*
Your answer
Pick Up Permissions
*
Your answer
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