Cotillion Enrollment Form
To enroll your child, please print and fill out this
form and mail it to:
25-13 Old Kings Highway North # 253
Darien, CT 06820
Name of Student_____________________________ Male______ Female______
during Cotillion _______
In Which My Child Will Attend Cotillion Classes______________________
Early registration is suggested as class size is limited.
Full Class Tuition Is $250.00.
To sign your child up for the optional multi course formal dinner party
on Feb. 7th, please include an additional $60.00
Amount enclosed _______________ Check #_______
How did you hear about The Cotillion?
Invitation_____ A Friend______ Advertisement______
Parents may volunteer to sign up for a chaperone date below, if their schedules permit.
Name of parent (s) ________________________________
Chaperone date ____________________________________
***Please mark your calendar as we will
beexpecting you on your chosen date. * * *
If you are interested in assisting further, please check a box below:
Publicity □ Photography □
Writing press releases for local newspapers □
need any further information, please call us at