6th Grade Application

SIXTH GRADE APPLICATION

Welcome to the 15th season of BRJC Cotillion.
Please note our new email address: BRJCmanners@gmail.com
This application form is for 6th grade students (FALL 2022) enrolling in the program.
Tuition for the sixth grade class is $200.00 total, with only the $60.00 Non-refundable deposit due at this time.
Please note: A late fee of $25.00 will incur for all applications received after August 15th, 2022.
Please note that online payments will have a PayPal processing fee included.

Registration for Fall of 2023, rising sixth graders, is open now.

A complete application form consists of: application, child's photo, and $60 Non-refundable deposit. The remainder of the tuition ($140) is due by August 15th. A late fee may incur for tuition and applications received after August 15th.
Completed application, photo and deposit check can be mailed to BRJC, P.O. Box 481, Centerton, AR 72719.

Curtesy extended to younger siblings of BRJC Program. Legacy applications are honored only if the oldest sibling has completed the BRJC ninth grade for the years they were eligible, or is a paid returning student for this year's season.
Please indicate on the application if your child is a legacy to BRJC.

In the comment section please include important information you would like to share about your child: allergies, medical conditions, social skills that need supporting, or any other information you want the director to know.

Applications for the Fall 2023 BRJC Cotillion season opened on October 15th, 2022.

6TH GRADE APPLICATION (Fall 2023)

* Indicates required field

Child's Name *

First

Last

Name Called *

Gender *

School Name and Grade (FALL 2023) *

Upload Child's Picture (For director to learn names) *

Max file size: 20MB

BRJC Legacy of (Full Name) and Legacy Years *

Mother / Custodian Parent 1 *

First

Last

Select Title *

Cell Number *

Email *

Father / Custodian Parent 2 *

First

Last

Select Title *

Cell Number *

Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments and notes to director *

Submit Application

PLEASE PRINT THIS APPLICATION FORM IF MAILING BEFORE PRESSING "SUBMIT" BUTTON.

Tuition for Sixth Graders paying by CHECK:
$200 per student, with a $60 Non-refundable deposit due with each application, which is applied towards the total tuition. The remaining portion of tuition ($140) is due by August 15th, 2021.

A late fee of $25.00 may incur to final tuition not received by August 15th.
Wait lists will be opened after August 15th to ensure that each child has a partner.
Early applications are always encouraged.

If paying by check, please include application, photo, and make check payable to:
BRJC, P.O. Box 481, Centerton, AR 72719

Tuition for Sixth Graders if paying ONLINE:
$208.00 total per student, with a $63.00 Non-refundable deposit due with each application, which is applied towards the total tuition. The remaining portion of tuition ($146.00 if paying online) is due by August 15th, 2022.

Wait lists will be opened after August 15th, 2022 to ensure that each child has a partner.
Early applications are always encouraged and highly recommended, as classes tend to fill quickly.

$63.00 NON-REFUNDABLE DEPOSIT
(Due at time of application to complete the application process.)

$146.00 REMAINING COTILLION TUITION
(Final tuition payment due by August 15th)

$208.00 COTILLION FULL TUITION
Please make full tuition payment at this time ONLY if 6th grade student is a BRJC legacy of a sibling that has completed all 4 years of BRJC or is currently already enrolled for the Fall 2022 season, as invitations are sent based on ratios otherwise.