Cotillion (Social Butterfly) Program Interest Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out the form below to show interest in your fifth or sixth grader attending the Resplendent Miss Write Cotillion (Social Butterfly) Program in February. The cost of the program is $300 per student. By filling out this form, you authorize a member of the team to connect with you about the program. This is not binding you and your child into the program. Final payment for the program is due by Jan. 1, 2025. A $50 non-refundable deposit is due by Nov. 30, 2024. Please contact us at (304) 930-1175 for questions.

Are you interested in the Cotillion (Social Butterfly) Program? *

Yes

Maybe

Other:

Is your student a boy or girl (we pair off for social ballroom dance)? *

Boy

Girl

What are you most interested in your child learning?

How not to gross others out at the dinner table?

How to be a gracious playmate or guest or learn good sportsmanship?

How to properly act around people of all ages, cultures, etc.?

How to dress appropriately for any occasion?

How to meet new people and converse more easily?

Other:

Your name *

Phone number *

E-mail *

Full mailing address *

Questions and comments

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms