Account Creation Progress:

Important Please remember to select a password that will secure personal information disclosed with your account.

Step #1
Fill out the information below completely:

Please ensure that you select the correct residency status. We will confirm the status.
The email address provided on this application will be used for lottery and enrollment communication. Be sure to also check your spam folder.

Step #2
Select the 'Create Account' button.

Parent/Guardian Information:

Last Name:

First Name:

Are you a resident of North Carolina?

Yes No

Important! Address listed below must be the physical address where the student lives.

Address: ^{(physical address required)}

Address Line 1:

Address Line 2:

City:

State :

Zip Code: ^{(postal code)}

Country :

Telephone: ^{(###-###-####)}

^Home:

^Work:

^Cell:

^Fax:

Updates via Text Message?

Yes No

Email Address:

Password:

Confirm:

Piedmont Classical High School
4100 Yanceyville Road
Browns Summit, NC 27214
Phone: (336) 897-1128
Email: office@piedmontclassical.com

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