Maumelle Junior Cotillion

2011/2012 Application

Name: _____________________________ Age: _________________________

Grade: _____________________________Gender:  ______________________

School: __________________________________________________________

Parent/Guardian Name: _____________________________________________

Address: _________________________________________________________

Phone Number:  ___________________________________________________

Email Address: ____________________________________________________

Volunteer Chaperone:  NO_____YES____If yes, date of event_______________

How did you hear about us: __________________________________________

Application Fee of $25.00 must be paid by October 6th, 2011.  All applications can be turned in at:  Tutus and Tennis Shoes Dance Studio and Events Center

                            301 Commerce Drive

                            Maumelle, AR 72113.

Please turn in application M -Th 4pm - 9pm

Please attach a picture along with application.

If you are accepted, your cotillion dues of $175.00 will be due before the first class, October 21, 2011 and you will receive a letter of acceptance through e-mail.

If you need any further information,

please call us at 501-803-9292 or email us at tutusandtennisshoes@yahoo.com

Thank you for applying to Maumelle Junior Cotillion.

Charity Headley, Director