* Required

Student Information & Interests

Student's First Name*required

Student's Preferred Name

Student's Last Name*required

Suffix

Date of Birth*required (mm/dd/yyyy)

Address Line 1*required

Address Line 2

City*required

State*required

Zip Code*required

Student's Current Grade (2022-2023 School Year)*required

Student's Current School*required

Student is interested in (Choose all that apply):

Athletics Aviation Band Business Chorus Performing Arts STEMM Visual Arts

Athletics

Baseball Basketball Bowling Cross Country Football Golf Lacrosse Mountain Biking Rugby Soccer Swimming Tennis Track & Field Trap Shooting Wrestling

Does a relative of the student currently attend or has one graduated from CBHS?*

Yes No

Relative Name(s) and Graduation Year(s)

Parent/Guardian Information

Parent/Guardian 1

Prefix

Parent's First Name*required

Parent's Last Name*required

Suffix

Email Address*required

Phone Number*required

Is the address same as student?*

Yes No

Address 1*required

Address 2

City*required

State*required

Zip*required

Relationship to Student*required

Parent/Guardian 2

Prefix

Parent's First Name

Parent's Last Name

Suffix

Email Address

Phone Number

Is the address same as Parent 1?

Yes No

Address 1

Address 2

City

State

Zip

Relationship to Student

Will your family apply for financial aid?*

Yes No

How did you learn about CBHS?*required

CBHS Family Name

Name of Alumnus/Alumni

Name of Event

Name of CBHS Employee

Please specify.

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

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