Registration Form

Parkway Central 2025, 6th 7th and 8th Grade Cotillion

Parkway Central

This class combines learning social confidence, good manners, and social dance. It is a wonderful time to practice social skills in a structured environment. The Cotillion will meet from 3:30 p.m. to 4:45 p.m. for five lessons: 9/29, 10/6, 10/13, 10/27, & 11/3. The Grand Finale Dinner Party and Dance will be held at The Marriott St. Louis West on Monday, November 10, 2025 from 6:30p.m. to 9 p.m

Child's First Name *

Child's Last Name *

Nickname

School *

Grade *

Parent's Name *

Please complete the following information

Address

City

State

Zip

Primary Phone

Email *

Food Allergies *

We acknowledge that we have read and understand the rules of Parkway Central and that we agree to comply with them.

Photo Release
I agree that Parkway Central and ESTL, organizers or facilitators may use photographs of my child taken during the Parkway Central programs for any lawful purpose including publicity, illustration, and web content.

I have read and understand the above

On occasion the program dates may change due to circumstances beyond our control. We make every effort to schedule a new date or makeup sessions that work for all families. Tuition can be transferred to other programs if necessary.