Etiquette Saint Louis Registration Form

100 Chesterfield Business Pkwy
Suite 200
Chesterfield, Missouri 63005

314-799-9933

Registration Form
Rockwood South Middle School 2021 - Cotillion Class

Rockwood South Middle School

This class combines learning social confidence, good manners, and social dance. It is a wonderful time to practice social skills in a structured environment. This class meets on February 6, February 13, February 20, February 27, and March 6 from 5:30 pm to 6:45pm. Dinner Date is on Friday March 12, 2021 from 6 p.m. to 9 p.m. Tuition is $135.

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 Rockwood South Middle School and that we agree to comply with them.

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

Photo Release
I agree that ESTL, organizers or facilitators may use photographs of my child taken during The
Etiquette Saint Louis programs for any lawful purpose including publicity, illustration, and web content.
I have read and understand the above:

Students may attend virtually if needed. 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.