National League of Junior Cotillions
Easley Chapter

Registration

Welcome to the National League of Junior Cotillions!

Our Cotillion classes are designed to help children and young teens build confidence, make new friends, and learn lifelong social skills in a fun and supportive setting. Whether they are just starting out in our Pre-Cotillion program or continuing their growth in Junior Cotillion, students will gain valuable practice in proper etiquette, respectful communication, and social dance.

Through age-appropriate lessons, interactive activities, and guided peer interaction, participants develop poise, discipline, and confidence that carry over into everyday life. Junior Cotillion students also receive instruction in traditional ballroom dance steps, set to contemporary music.

To secure your students spot, payment is submitted at checkout through Stripe via card or ACH. Check the box below to register your child for Junior Cotillion..

Classes are limited and tend to fill quickly, so we highly encourage early registration. We look forward to an exciting year of learning, growth, and fun!

SUMMER CAMP 🪁

PRE-COTILLION SUMMER CAMP IS OPEN - REGISTER TODAY! Camp is for Rising 1st - 4th Grades - Register at Summer Encounters Fun Camp for Kids - Week 2!

Thank you for registering your student in our cotillion programs.

2026-2027 Student Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

Add additional child to this registration »

2026-2027 Student #2 Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

Add additional child to this registration »

2026-2027 Student #3 Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

Add additional child to this registration »

2026-2027 Student #4 Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

Add additional child to this registration »

2026-2027 Student #5 Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

Add additional child to this registration »

2026-2027 Student #6 Information

Class Registering For*

First Name*

Last Name*

Preferred Name*

Gender * Male Female

Salutation

Street Address *

City *

State *

Zip *

What school will the student attend in the fall *

What elementary school did the student attend*

Current Grade *

Grade Entering In Fall *

Birth Date (format: 05/13/2011)

About the Parents

How did you hear about us? *

Parent / Guardian 1 Salutation

Parent / Guardian 1 First Name *

Parent / Guardian 1 Last Name *

Parent / Guardian 1 Email Address *

Parent / Guardian 1 Email Address (Again)*

Parent / Guardian 1 Cell (or Preferred) Phone *

Parent / Guardian 1 Occupation

Parent / Guardian 2 Salutation

Parent / Guardian 2 First Name

Parent / Guardian 2 Last Name

Parent / Guardian 2 Email Address

Parent / Guardian 2 Cell (or Preferred) Phone

Parent / Guardian 2 Occupation

Photo and Video Release*

Please use the checkbox below to grant permission to the National League of Junior Cotillions and National League of Junior Cotillions Easley Chapter to use photos and/or videos taken at NLJC events for any legal use, including but not limited to newsletters, publicity, and web content, UNLESS I notify the director, Theresa Block, in writing (with instructions and a photo of the child) before classes begin. The National League of Junior Cotillions will not use names or identifying information about students in any publication.

As the parent/guardian, I GIVE permission for images of my child(ren) to be used by The National League of Junior Cotillions in print or electronic materials as indicated above.

As the parent/guardian, I DENY permission for images of my child(ren) to be used by The National League of Junior Cotillions in print or electronic materials as indicated above.

Allergies * I understand the director will not be held responsible with respect to accommodating food-born allergies.

Note to Director

Payment Method*

I'll pay by Credit or Debit Card

I'll pay by Bank Transfer (ACH)

* A 3% processing fee applies to credit and debit card payments. A 0.8% processing fee applies to ACH bank transfers.

Payment Terms*

One-time payment

Deposit now, remainder later

Payment plan (Installments) Payment every 3 months - 3 payments total

Younger Siblings

We attempt to ensure that younger siblings receive an invitation to participate, once they have reached the appropriate age for cotillion classes. If interested, please provide some information about younger siblings.

Sibling 1 First Name

Sibling 1 Last Name

Birth Date

Year entering fifth grade *

Elementary school child will attend

Sibling 2 First Name

Sibling 2 Last Name

Birth Date

Year entering fifth grade *

Elementary school child will attend

Sibling 3 First Name

Sibling 3 Last Name

Birth Date

Year entering fifth grade *

Elementary school child will attend

Sibling 4 First Name

Sibling 4 Last Name

Birth Date

Year entering fifth grade *

Elementary school child will attend

Please note: If your child has any special dietary restrictions or any conditions that would restrict their ability to participate in cotillion activities, please contact the director with those details.

Director’s Home

National League of Junior Cotillions Easley Chapter

Registration

2026-2027 Student Information

2026-2027 Student #2 Information

2026-2027 Student #3 Information

2026-2027 Student #4 Information

2026-2027 Student #5 Information

2026-2027 Student #6 Information

About the Parents

Younger Siblings

National League of Junior Cotillions
Easley Chapter