Piedmont Classical High School Enrollment Application 2019 - 2020 School Year
Please complete this form for each individual child you are interested for enrollment in the 2019-2020 school year.
Email address *
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Last Name *
Your answer
What is your Child's current grade level in 2018-19? *
Student's Birthday *
MM
/
DD
/
YYYY
Parent/Guardian completing this enrollment form, Name *
Your answer
Parent/Guardian Relationship to Student *
Your answer
Primary Telephone *
Your answer
Primary E-Mail *
Your answer
County of Residence *
Your answer
Home Street Address *
Your answer
Apartment #
Your answer
City, State, 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?
If yes, please indicate his/her name:
Your answer
Are you or any other Guardian a Board Member?
If yes, please indicate his/her name:
Your answer
Submit
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