Escort Application

Updated Escort Application

Escort Name(Required)

First Middle Last Suffix

Include your name exactly as you want it to appear in the Cotillion Souvenir Book.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone(Required)

Home Phone(Required)

Email(Required)

Enter Email Confirm Email

Current School(Required)

School City(Required)

Escort's Grade Level as of September 2023(Required)

Escort's Cumulative GPA(Required)

Mother's Name(Required)

First Last

Mother's Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Mother's Cell Phone(Required)

Mother's Email(Required)

Father's Name(Required)

First Last

Father's Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Father's Cell Phone(Required)

Father's Email(Required)

Please list any allergies you have or enter none.(Required)

Please list your: T-shirt size; Dress shirt size; Jacket size(Required)

Do you have sisters, brothers, or cousins who may be interested in participating in one of our future Cotillions? If so, please list their names and grade in school.

Debutante's Name(Required)

First Last

Debutante's Parent's Names(Required)

How would you like to receive Cotillion information?(Required)

Escort Email

Mother's Email

Father's Email

Mother's Address

Father's Address

Please include at least one adult.

College Choices (limit 2)(Required)

Intended Major(Required)

Please write a short statement describing who you are and the kinds of activities you have engaged in during high school.(Required)

Please include your community related activities and any awards or special recognition you received. Please complete this statement carefully, as it will form the basis of your biographical statement that will be included in the Cotillion Souvenir Book, and excerpts will be read as you are presented during the Cotillion. If you receive additional awards and/or recognition prior to the Cotillion, we will be able to adjust the statement.

Your Favorite Quote(Required)

Author/Source of the Quote(Required)

Please upload two photos - one portrait pose and one activity pose(Required)

Drop files here or

Max. file size: 50 MB.

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