Central High School Online Learning Registration Form
The Helena-West Helena School District will provide families with two options for the 2020-2021 school year.

Option 1 Students will attend BLENDED school. Students will be divided into two groups- Group 1 will attend school on-site on Monday and Tuesdays and Group 2 will attend school on-site on Wednesday and Thursdays. Students will work online from home three days per week.

Option 2 Students will attend ONLINE ONLY for the FALL semester and apply for the SPRING Semester at the appropriate application release date.

Note: The option you choose cannot be changed at any time during the given semester. Please complete a separate form for each student in grades 7-12.
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Student's Name *
Grade Level of Student *
My Central High School Student will *
Does this student have any siblings in the Helena-West Helena School District? If so, please complete this form again for additional student(s) if 7-12 and/or complete the elementary form if the student is grade K-6. *
List the Names and Grades of Siblings and Complete the form again for the additional student(s) if applicable
I have internet access at home *
I have a computer at home *
Additional Comments
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