Fort Mill/Tega Cay's
CLASSIC COTILLION, LLC
2017-2018 Platinum Students

Please complete this form so that your child may be registered for the Platinum class during the 2017-2018 Classic Cotillion Season.
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Please use an email that you check at least once a week. However, avoid using a Comporium account because Comporium blocks MailChimp emails.
If you use Comporium, please provide another email.
This name will be used for student name tags and work book labels.
Please choose the grade in which your child is enrolled for the 2017-2018 academic year.
Please indicate which school your child will attend in August.
All Junior Cotillion correspondence will be mailed to this address.
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If you do not have a home number, please use (555) 555-5555.
This title will be used when addressing envelopes.
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Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.
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Please include either a cell number or a work telephone number. If you do not wish to include one, use (555) 555-5555.
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Please enter your child's 2 digit month and 2 digit day.
Please indicate if your child has any allergies.
If you think it is important for us to know, please list any special circumstances (grandparents as guardians, a deceased parent, blended family, etc).
Please list the first and last names of all siblings and include the grade they will enter in August 2017. Please type "none" if there are no siblings.
Please read: http://www.classiccotillion.com/media-release.html
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