Registration Form

Rockwood Valley Middle School 2023, 7th and 8th Grade Cotillion

RVMS

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 April 3, April 17, April 24, May 1, and May 8 from 2:45 pm to 4:15 pm. Dinner Date is on Monday, May 15, 2023 from 6 p.m. to 9 p.m. at the Missouri Athletic Club Downtown. Tuition is $140.

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 Valley Middle School and that we agree to comply with them.

Photo Release
I agree that Rockwood Valley Middle School and ESTL, organizers or facilitators may use photographs of my child taken during the Rockwood Valley Middle School 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.

Volunteer, I am interested in volunteering to be a parent chaperone