CLASSIC COTILLION, LLC
2018-2019 Gold Students

Please complete this form so that your child may be registered for the
2018-2019 Cotillion Season.  Please note that a deposit must be made to complete the registration process.
* indicates required
Please use an email that you check at least once a week. However, avoid using a Comporium account because Comporium blocks MailChimp emails.
If you use Comporium, please provide another email.
This name will be used for student name tags and work book labels.
Please indicate which grade your child will begin in August 2018.
Please indicate which school your child will attend.
Please select the location that your child will attend.
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If you do not have a home phone, please use (555) 555-5555.
All Classic Cotillion correspondence will be mailed to this address.
This title will be used when addressing envelopes.
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Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.
This title will be used when addressing envelopes.
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Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.
If you think it is important for us to know, please list any special circumstances (grandparents as guardians, a deceased parent, blended family, etc).
Please list the first/last names of all siblings, their genders, and grades they will enter in August 2018. Please type "none" if there are no siblings.
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Please enter your child's 2 digit month and 2 digit day.
Please list any known allergies.
Include the child's first/last name, gender, grade in August, and parent's email or mailing address.
Please read: http://www.classiccotillion.com/media-release.html
Let CLASSIC COTILLION know what action you are ready to take. Remember that we ONLY reserve a spot for students who pay a deposit.
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