National League of Junior Cotillions
Nashville Chapter

Registration

Welcome to the National League of Junior Cotillions
Nashville & Williamson County Chapters

We’re excited for another season of manners, etiquette, and confidence-building.

Parents’ Reception
Tuesday, April 7, 2026 | 7:00 PM
The Martin Center, 960 Heritage Way, Brentwood, TN

Registration & Acceptance

• All required fields (marked with a *red asterisk) must be completed for registration to submit.

• Successful registration will advance to the Thank You page and generate a confirmation email with payment instructions.
• Registration is complete only when both registration and payment are received
• Students are accepted in the order received, until classes are full
• Junior Cotillion follows a 1:1 ladies-to-gentlemen ratio; waitlists apply if balance is needed
• Acceptance postcards begin mailing May 15
• Acceptance may extend into late summer if waiting on balance or payment

Refund Policies
• Junior Cotillion: No refunds after June 1
• Pre-Cotillion: No refunds after May 1

Tuition T • Junior Cotillion Year I: $500
• Junior Cotillion Year II: $500
• Pre-Cotillion I: $250
• Pre-Cotillion II: $250

Payment
• Online: www.NLJCNW.com (credit card fees apply; appears as WIX)
• Check: To: NLJC at P.O. Box 603, Franklin, TN 37065

Questions?

Please save both emails below to your contacts/address book to prevent emails from going to your spam or junk.
Suzette.Wimpy@nljc.com or [email protected] | 615-604-1185

Best viewed on a desktop computer

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 Nashville 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, Suzette Wimpy, 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

Payments I'll pay with Venmo I'll pay by check

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 Nashville 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
Nashville Chapter