College Prep Application

College Prep Etiquette Course Application

The College Prep Etiquette Course is taking applications for our Early Spring 2022 Course.
Please note our email address: BRJCmanners@gmail.com
The Early Spring 2022 course will meet in three sessions, with two sessions to consist of class time and one session will consist of 4-course instructional etiquette dinner.
The etiquette dinner cost is included in the $200.00 fee.
Pay online, or see the mailing address for applications and checks at the bottom of this application.

College Prep Etiquette Application

* Indicates required field

Child's Name *

First

Last

Name Called *

Gender *

Current Grade *

Name of School Attending *

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

Max file size: 20MB

BRJC previous years attended if any *

Select Title *

Mother / Custodial Parent 1 *

First

Last

Cell Number *

Email *

Select Title *

Father / Custodial Parent 2 *

First

Last

Cell Number *

Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Comment/Food Allergies *

Submit Application

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

The fee for the College Prep Etiquette Course is $200.00 if paid by check and $206.00 if paid online.
If paying by check please mail application, photo, and make check payable to: BRJC, P.O. Box 481, Centerton, AR 72719

Course fee includes all instruction, a book, and the 4-course instructional etiquette dinner.

$208.00 COLLEGE PREP TUITION (Includes dinner fee)