Piedmont Classical High School Enrollment Application 2020 - 2021 School Year
Please complete this form for each individual child you are interested for enrollment in the 2020-2021 school year. For more information, see our website at: https://piedmontclassical.com/ or call our office at 336-897-1128.
Email address *
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Last Name *
Your answer
What grade are you applying for your Child's enrollment for 2020-21? Note: PCHS does not accept incoming 12th grade students. *
Student's Birthday *
MM
/
DD
/
YYYY
Parent/Guardian completing this enrollment form, Name *
Your answer
Parent/Guardian Relationship to Student *
Your answer
Best Phone Number to Contact Parent (Preferably Mobile #) *
Your answer
Primary E-Mail *
Your answer
County of Residence *
Your answer
Home Street Address *
Your answer
Apartment #
Your answer
City Name *
Your answer
Zip Code *
Your answer
Mailing Address, if different than above
Your answer
Do you have a student currently attending PCHS?
If yes, what is the student's name:
Your answer
Student's Grade:
Are you or any other guardian a staff member or Board Member?
If yes, please indicate his/her name:
Your answer
A copy of your responses will be emailed to the address you provided.
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