*
Required
Student's Name
*
required
Student's Gender*
Female
Male
Grade Level of Interest
*
required
Parent's First Name
*
required
Parent's Last Name
*
required
Spouse's Name
Address
*
required
City
*
required
State
*
required
Please Select…
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
required
Email Address
*
required
Preferred Phone Number
*
required
Phone Number Type
*
required
Please Select…
Cell
Home
Work
Your First Name
*
required
Your Last Name
*
required
Your Address
*
required
City
*
required
State
*
required
Please Select…
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
required
Your Email Address
*
required
Your Preferred Phone Number
*
required
Phone Number Type
*
required
Please Select…
Cell
Home
Work
I am a:
*
required
Please Select…
Visitor
Prospective Student
Prospective Parent
Alumnus
CHS Student
CHS Parent
CHS Relative
Faculty/Staff
Former Faculty/Staff
Board of Trustee Member
Friend
Other
About This Student
*
required
Please tell us about this particular student's interests, hobbies, academic strengths or any other information you feel would best help us connect with the family.