Registration Form

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Registration Form

For our 2025 season, in order to secure your place in the program, tuition can be paid either in full or as a partial payment with the balance due by the first Class. Please complete this form in full, noting any allergies, concerns, etc. in the comments section, for any child(ren) that you are registering.

Email *

Student's Name *

Student's Preferred Name *

Gender *

Female

Male

Experience *

My Child is new to Junior Cotillion

My Child has previously attended Junior Cotillion

My Child has siblings that attended Junior Cotillion

Grade as of September 2024 *

6th

7th

8th

9th

School my Child attends *

Home Address *

Medical/Food Allergies *

Comments/Concerns

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