Cotillion Participant First Name (required) Middle Name (required) Last Name (required) Address (required) City (required) State (required) ---AKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip code (required) Is your child (required): MaleFemale What grade will your child be in for the 2018-2019 school year? (required) ---6th Grade7th Grade8th Grade9th Grade What Cotillion Program level will your child be enrolled in this year? Basic Program (For first time 6th-7th grade students)Intermediate Program (For students who have attended at least 1 season of Cotillion Classes and First time 8th grade students)Compass C3 Advanced Program (For students who have attended at least 2 seasons of Cotillion Classes and First time 9th grade students) For families with more than 1 child in same household, please provide: Cotillion Participant First Name Middle Name Last Name Is your child (required): MaleFemale What Cotillion Program level will your 2nd child be enrolled in this year? Basic ProgramIntermediate ProgramCompass C3 Advanced Program What school will your child attend next year? (required) Parent / Guardian Full Name (required) Parent / Guardian Email Address (required) Parent / Guardian Phone (required) As a parent/guardian I would like to help with: (required) (Please select all that apply) InvitationsDecoratingChaperoningFood and Beverage Agreement for Participation (required) Participation in all Compass Cotillion programs is a privilege; thus, members are expected to maintain respectable social conduct at all functions as well as at school and in the community. High moral character and good manners are expected. Any conduct inconsistent with this expectation, including bullying, may result in removal from the program. By checking this box, I agree to the terms of participation for my child. Photo Release (required) I authorize Compass Cotillion, to use pictures of my child in any form for its purposes and consent that the pictures may be copied, published, telecast, or broadcast for such purposes together with descriptions and editorial statements. By checking this box, I agree to the photo release terms for my child. Medical Alert Please indicate any medical conditions you would like the Compass Cotillion to be aware of below. Please type "N/A" if none exist.