Bethel Elementary Etiquette Families

Email Address *

Please use an email that you check at least once a week. However, avoid using a Comporium account because Comporium blocks MailChimp emails.

Alternate Email Address (for Comporium Users)

If you use Comporium, please provide another email (if you have one).

Participant's First Name *

Participant's Preferred Name

This name will be used for student name tags.

Participant's Last Name *

Participant's Gender *

LadyGentleman

Mailing Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

All Classic Cotillion, LLC correspondence will be mailed to this address.

Home Telephone Number *

( ) -

If you do not have a home phone, please use (555) 555-5555.

Participant's Grade *

Please indicate your child's grade in August 2016.

Participant's School *

Please indicate in which school your child is registered.

Participant's Teacher *

Please indicate your child's homeroom teacher (for dismissal purposes only)

Father's First Name

Father's Last Name

Title *

This title will be used when addressing envelopes (if necessary).

Please mail all correspondence to: *

Mother's First Name

Mother's Last Name

Participant's Birthday *

Month / Day

Please enter your child's 2 digit month and 2 digit day.

Allergies *

Please list any known food allergies or type "None Known".

Mother's Contact Number *

( ) -

Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.

Father's Contact Number *

( ) -

Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.

Family Dynamic (Click for information)

If you think it is important for us to know, please list any special circumstances (grandparents as guardians, a deceased parent, blended family, etc.).

Sibling Information *

Please list the first and last names of all siblings and include the grade they entered in August 2016. Please type "none" if there are no siblings.

Sibling Registration *

Yes, I want to register the elementary aged siblings.No, I do not want to register the siblings.Not Applicable

Should you answer "Yes" to this question, Mrs. McCarter will contact you to get information about this child (allergy, teacher, etc).

Photo Release (Click for more information)

Yes, I consent to the Photography Permission Release.No, I do not consent.

Please read - http://www.classiccotillion.com/media-release.html

Elementary Etiquette: A Proper Introduction Presented by CLASSIC COTILLION, LLC

Elementary Etiquette: A Proper Introduction
Presented by
CLASSIC COTILLION, LLC