2007 Class Registration

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2007 
ENROLLMENT 
Please print and mail in this form (filled out) with a check made payable to: 
CALIFORNIA JUNIOR COTILLION
P.O. Box 420841
San Diego, CA 92142

Please encourage a friend of opposite gender to enroll 
with you, as this will keep the boy/girl ratio balanced.
(returned checks or fees incure $25 for processing)
 ---Concider Your Child Enrolled Unless Notified---
 

Student's Name:_______________________________

Parent's Name:________________________________ 

Mailing Address:_______________________________

_____________________________Zip_______________
 
Email Address:_________________________________

Phone Number:________________________________

Grade:________________________________________

Male or Female:________________________________

Photo Permission:Your permission is needed for taking general pictures of your child danacing  (name stated above) for digital, printed, tv or website material. Pictures and video footage are taken of students only at costume and final dance. No personal information is ever displayed and we prefer to use indirect head shots. The DVD Memory Package is the main reason for this permission, since it allows students to have professional footage of themselves dancing for the first time. We thank you very much for your cooperation.

_______________________________________ Parent Signature

Class I_____________ or Class II__________________
(5/6 grade). . . . . . . (7/8 grade)  

MONDAY     - Carlsbad     (Women's Club)_________
TUESDAY    - San Diego   (Women's Club)_________
WEDNESDAY-Orange, O.C.(Women's Club)_________
THURSDAY  - Escondido   (Woman's Club)_________


School Name:__________________________________  

CLASS FEE (10 Sessions) $175: _____

PARENT TABLE MANNERS COURSE $25:_____

TOTAL AMOUNT ENCLOSED: _____________________