Parent Registration | Charlotte Junior Cotillion

Charlotte Junior Cotillion

Parent Registration

1 Parent Information

2 Student Information

3 Sibling Information

4 Payment

Parent Information

Title *

First Name *

Last Name *

Email *

Phone *

Home Address *

City *

State *

ZIP Code *

Secondary Parent First Name

Secondary Parent Last Name

Secondary Email

Secondary Phone

Season *

Password *

Password must be at least 8 characters long.

Confirm Password *

Student Information

Younger Sibling Information

Please provide information about younger siblings who may join the program in the future.

Payment Information

Registration Summary

Please add students in the previous step to see your registration summary.

Total:

$0.00

Payment Amount

Pay 100% Now
Complete payment today

Pay 50% Now
Pay remaining balance later

Amount to pay now: $0.00

Remaining balance: $0.00

Payment Methods

Check Credit/Debit Card Pay Later

Please make checks payable to: Charlotte Junior Cotillion

Mail your check to:

Charlotte Junior Cotillion
PO Box 1
Charlotte, NC 28202

Note: Your registration will be pending until your check is received and processed.

* I confirm that I will mail a check within 5 business days of completing registration.

Name on Card *

Card Number *

Expiry Month *

Expiry Year *

CVV *

Billing Address

Same as home address

Important: By selecting "Pay Later", you understand that:

Your registration will be marked as "pending payment"
Your child's spot in the class is not guaranteed until payment is received
Payment must be made within 7 days to secure enrollment

Next Steps:

Complete your registration
You will receive a confirmation email with payment instructions
Log in to your parent account to make a payment
Or contact the chapter director to arrange payment

* I understand that my registration is not complete until payment is received, and I will make payment within 7 days.

Charlotte Junior Cotillion

Parent Information

Student Information

Younger Sibling Information

Payment Information

Registration Summary

Total:

$0.00

Payment Amount

Payment Methods

Paypal Payment

Venmo Payment

Next Steps:

Student #1

Sibling #1

Charlotte Junior Cotillion

Parent Information

Student Information

Younger Sibling Information

Payment Information Auto Fill

Registration Summary

Total:

$0.00

Payment Amount

Payment Methods

Paypal Payment

Venmo Payment

Next Steps:

Student #1

Sibling #1

Payment Information