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Cotillion Workshops
2010- 2011 Online Registration Form
REGISTER NOW FOR DISCOUNT!
One Cotillion per Month plus Junior Ball - $199.00
Two Cotillions per Month Plus Junior Ball for the same student- $265.00
Please Note: After May 31 2010
One Cotillion
per Month plus Junior Ball - $230.00
Two Cotillions
per Month Plus Junior Ball for the same student- $295.00
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| Student Information |
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Last Name
First Name
Sex
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Street Address
Apt # City
,CA Zip Code
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Birthday (MM/DD/YYYY) Age Oct 1, 2009
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| Grade in Fall School in Fall
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| Cell Email Address |
| Returning Student Number of Years in Cotillion |
| New Student I found out about Cotillion from |
| Parent Information |
| Mothers Information: |
| Name
(First and Last) |
| Home Telephone Cell Work |
| Email Address
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| Fathers Information: |
| Name
(First and Last) |
| Home Telephone Cell Work |
| Email Address
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* IMPORTANT: Communication and updates with be primarily through Email
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| Method of Payment |
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| Cotillion Group Selection: |
| Fresno Tenaya Middle School, 1239 W. Mesa Avenue, Fresno CA 93711 |
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Group A
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Grades 5 and 6 6:15 - 7:45 PM |
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Group B
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Grades 7 through 12 8:15 - 9:45 PM |
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Dates :
Cotillion held on Fridays
October 8, 2010
November 12, 2010
December 3, 2010
Junior Ball ~ Monday December 13 (7:00 to 9:00 p.m.) at the Radisson Hotel
January 14, 2011
February 11, 2011 |
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| Clovis Fresno County Sportsmen's Club, 10645 Lanes Road, Fresno CA 93710 |
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Group C
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Grades 5 and 6 6:15 - 7:45 PM |
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Group D
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Grades 7 through 12 8:15 - 9:45 PM |
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Dates : Cotillion held on Fridays
October 15, 2010
November 19, 2010: Please note ONLY this Cotillion will be held at
Tenaya Middle School
December 10, 2010
Junior Ball ~ Monday December 13 (7:00 to 9:00 p.m.) at the Radisson Hotel
January 7, 2011
February 4, 2011
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Please place my child in a group with their friend or school
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I would like to receive information about my child joining the Ballroom Dance Team |
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The Ballroom Dance Team meets every Tuesday 7:30 PM to 9 PM (44 weeks a year),
to learn more advanced steps and routines and to have the opportunity to perform and
assist with Cotillion. These lessons are offered at discounted rates in exchange for
students assistance.
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| Parent Volunteers : Cynthia Merrill Projects encourages parental involvement and participation with Cotillion. |
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I am willing to serve as a liaison for my child's school; informing other parents about Cotillion, recommend students for invitations and hand out fliers. |
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I am willing to serve as a host/hostess for Cotillion in the month of |
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I am willing to send cookies for the month of |
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| Please Note: There are No Refunds after August 1, 2010 on Cotillion or Junior Ball |
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