Registration Form

Lasalle Springs Middle School 2022, Cotillion Class

Lasalle Springs 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 January 24, January 31, February 7, February 14, and February 28 from 2:45 pm to 4:15 pm. Dinner Date is on Monday, March 7, 2022 from 6 p.m. to 9 p.m. at the Missouri Athletic Club Downtown. 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 Lasalle Springs Middle School and that we agree to comply with them.

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