NWA Junior Cotillion 24-25 School Year

Student's Name*

Choose Cotillion Season*

2024 -2025 Season ($300.00)
Tuition is $300 per child.
You may choose to pay in full today or choose the option to pay a deposit of $175 today . The balance will be automatically charged to the card used on 8/25/24.

School Attending in Fall 2024*

Multiple siblings may be added after completing registration for the first child.

A $100 discount is applied to additional siblings registered in the same season.

Grade Level in Fall 2024*

5th
6th
7th
8th

Gender*

Male
Female

Parent or Guardian Email*

Name of Parent or Guardian*

Parent Phone Number*

Address*

Young Ladies Gloves

White Gloves (one size fits all)
Young ladies are required to wear gloves to all semi-formal and formal cotillion dances. (Gloves Purchased online will be available to pickup at cotillion events and the Mother's Tea)
$12.00 ea.
Add
Black Gloves (one size fits all)
Young ladies are required to wear gloves to all semi-formal and formal cotillion dances. (Gloves Purchased online will be available to pickup at cotillion events and the Mother's Tea)
$12.00 ea.
Add

Total Registration Cost and Purchases

$0.00

Parental Consent*

I consent to pictures being taken of my child for use on social media or the NWAJC website. Names will not be used to identify participants.

I have read and agree to the terms above.

Coupon Code

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