Registration

2019-2020 Cotillion Registration

Thank you for your interest in Carolina Junior Cotillions.

On-line registration for the 2019-2020 Cotillion season at Walnut Creek Country Club in Goldsboro, NC is now closed. Registration for the 2020-2021 Cotillion season will open in May 2020. The registration passcode may be obtained from your Cotillion Invitation or by contacting our office at goldsboro@carolinacotillions.com

Cotillion Registration Form

2019-2020 DJ Dance Party

Guest registration for Cotillion’s 2019-2020 DJ Dance Party on Friday, January 17, 2020 is now open.

Cotillion Guest Registration Form

Currently-enrolled cotillion students are permitted to register one guest to attend DJ Dance Party night. Guests will be introduced by students to Cotillion staff and are expected to follow Cotillion social, behavioral, and dress code expectations. Guests are limited to grades 4-8 and must sign-in upon arrival to receive their name badge. Guests are permitted to attend solely with their host cotillion student.
Email*
Currently-Enrolled Cotillion Student*
Cotillion Group*
Guest's Name*
First Last
Gender:*
- Girl
- Boy
Grade:*
School:*
Guest's Address:*
City:*
State:*
Zip:*
Emergency Contact Name:*
Emergency Contact Cellular Phone:*
Emergency Contact Home Phone:*
DJ Dance Party Guest Pass: $20

Guests are permitted to attend solely with their host cotillion student

Refunds will not be issued unless inclement weather leads to event cancellation
Important Parent Information:

I release from liability the owner, operator, chaperones, marshals and employees of Carolina Junior Cotillions/Carolina Protocol regarding any injuries sustained and understand that I will be notified as soon as possible concerning any medical problem by my youth while in class or while under Cotillion’s supervision.

I agree to allow my youth to be photographed during Carolina Junior Cotillions/Carolina Protocol programs, and agree that these photographs may be used for promotional purposes including, but not limited to, advertising and promotion of the Carolina Junior Cotillions/Carolina Protocol.
I agree to these terms:*
- Yes
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Total
$0.00
Registration is not complete until payment is entered on the following page.

manners in motion

“Be fearless and each day you must meet someone new.”

~ Lord Beaverbrook

Carolina Junior Cotillions

Registration

Cotillion Guest Registration Form

DJ Dance Party Guest Pass: $20

Important Parent Information:

manners in motion