Coder Registration

* Indicates required field
 
Tuition: $300.00
 
Student First Name *
Student Last Name *
Student's Preferred Pronouns
Student Date of Birth *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Is Parent/Guardian a Central Piedmont Employee? *
Address *
City *
State *
Zip *
School Attending *
School Type *
If Other, please specify
Current Grade *
Phone *
Emergency Contact Name *
Emergency Contact Phone *
How did you hear about us? *
Promotional Code