New Student Application

The application fee is unlocked only after a new student application is submitted.

Little Rock Junior Cotillion

New Student Application

Complete one application for each new student. When the student information is submitted, you will continue to the secure application-fee payment.

Application and payment are one process. Your information is saved as Pending payment, but the application is not finalized or sent for review until the required $40 application fee plus $2 processing fee is paid. The $40 application fee is credited toward tuition if the student is accepted.

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Application

Applications for the 2026 Little Rock Junior Cotillion season are reviewed as space allows.

A parent or guardian may use the same family email address for more than one student. Please submit a separate application for each new student so every student can be reviewed individually and connected to the correct family account.

Complete one application for each new student. After submitting this form, continue to the secure application-fee payment. Previously paid application slots will not be charged again. The $40 application fee is applied toward tuition upon acceptance. This form does not collect a second application fee.

Legacy status will be considered according to LRJC enrollment policies. Please complete all information carefully and watch your inbox for confirmation and next steps.

Email(Required)

Basic Information

This is where we collect basic information to aid in future communication and next steps. The Applicant's Address below is the address that will be used to mail invitations in June, via USPS. A digital copy of the invitation will be emailed out in May - prior to hard copies in June.

I confirm that the required application fee was submitted before beginning this form.

I understand

Today's Date(Required)

Applicant's First Name(Required)

Applicant's Last Name(Required)

Applicant's Preferred Name(Required)

Applicant's Gender(Required)

Male

Female

Applicant's High School Graduation Year(Required)

Applicant's School - Please provide the school they will be enrolled in during their time in Cotillion.(Required)

Applicant's Mailing Address(Required)

Applicant's City(Required)

Applicant's Zip Code(Required)

Please tell us anything about the applicant that we may need to know to provide the best experience possible; physical differences, needs to keep insulin near, has seizures, etc.(Required)

Guardian 1: First and Last Name(Required)

Guardian 1: Email Address(Required)

Please list an email address that is checked frequently.

Guardian 1: Mailing Address(Required)

Guardian 1: Phone Number(Required)

Guardian 1: Relation to Applicant(Required)

Guardian 2: First and Last Name(Required)

Guardian 2: Email Address(Required)

Please list an email address that is checked frequently.

Guardian 2: Mailing Address(Required)

Guardian 2: Phone Number(Required)

Guardian 2: Relation to Applicant(Required)

Emergency Contact: First and Last Name(Required)

Emergency Contact: Phone Number(Required)

Emergency Contact: Relation to Applicant(Required)

Applicant is a Legacy - A Legacy is an applicant whose parent or older sibling attended LRJC ALL FOUR YEARS or when an older sibling is reenrolled for the same year the younger sibling is applying for. The parent passes the legacy to the first child, who passes the legacy to the second child, etc.

Yes

Legacy Information - all information must be complete to process application as a Legacy.

Note that Legacy applications will only be prioritized if submitted prior to 1 March 2026. Any Legacy applications submitted after the date 1 March 2026 will be accepted in the order in which they were submitted.
Legacy students are those whose parent or older sibling completed four years of Little Rock Junior Cotillion, or who have an older sibling currently enrolled in the program. This older sibling must remain enrolled in the program for this application to maintain Legacy Status.

Legacy Information - First and Last Name

Legacy Information - Relation to Applicant

Legacy Information - Years of Attendance

Legacy Information - Maiden Name if applicable

Would you like to take advantage of a special offer? This is NOT required! Just an option.

Yes, please! Send me an invoice.

Not at this time

Incoming 5th Grade Special Offer: For the first time we are offering a substantial savings opportunity for the incoming class of 2034. As many know, LRJC is a four year program. Upon acceptance in the 5th grade each student is automatically enrolled in the next season unless Mrs. McClure is notified otherwise in writing. This is one way students are invited to join from the waitlist. In an effort to offer you a way to save some money we are offering the Class of 2034 the opportunity to pay for all four years of their LRJC tuition upon acceptance and receive a 20% discount off of the grand total. The discounted total is $956.80. That is nearly an entire season of LRJC for free! Details: A partial refund will only be given if a family moves out of Pulaski County or further than a county that touches Pulaski. Upon issuing a refund, these will be issues in yearly increments in line with the typical refund policy - must be provided in writing prior to 1 July. For example, if you go with this option and move after the student’s 5th grade season you will be refunded $669.30 with proper documentation of move. Should you move after the 6th grade season the refund will be $381.80. A move after the 7th grade season will result in a $0 refund. These refunds are subject to proper documentation of move as well as submitted on or prior to 1 July.

Consents and Fine Print

Please acknowledge all statements below by entering your full name under each. By entering your full name below, you are stating that you have read and understand the terms stated.

Waiver and Consent(Required)

By entering your full name below, you are stating that you have read and understand the terms stated.
By submitting this application, I consent to my child participating in Little Rock Junior Cotillion, Inc. (LRJC) dances and other activities and consent to LRJC publishing photographs of my child while participating. LRJC may summon medical or other assistance for my child in an emergency. I acknowledge, agree and consent that LRJC dances and other activities involve physical activity and physical contact with others. I release and hold harmless LRJC and its employees, officers, directors and agents from any responsibility, claim or liability for harm or injury resulting from my child participating in LRJC.

By entering your full name below, you are stating that you have read and understand the terms stated.
As a condition of participation, students/guardians grant Little Rock Junior Cotillion permission to photograph them for use in materials related to the program, including brochures, postcards, newsletters, the LRJC website, social media channels, or other online publicity. Student names will not be published.

Costs(Required)

By entering your full name below, you are stating that you have read and understand the terms stated.
Tuition for the 2026 season is $275. This is due upon acceptance in May. As of 1 November 2024 there is a non-refundable application fee of $40 that is due at the time of application. This fee will be applied toward tuition balance upon acceptance. Tuition should be paid in full prior to 1 June.

Tuition Due Date & Late Tuition Policy(Required)

Little Rock Junior Cotillion, Inc. (LRJC) Timely tuition payments allow Little Rock Junior Cotillion, Inc. to plan classes, secure venues, and provide the highest quality instruction for our students. We appreciate families’ cooperation in meeting payment deadlines. Tuition Due Date Tuition is due in full by June 1 for the upcoming cotillion season. Families enrolling after June 1 are required to submit full payment at the time of registration. Tuition Increase Beginning July 1, tuition will increase by $20, regardless of original registration date. Any unpaid balance remaining on or after July 1 will be adjusted to reflect the increased tuition rate. Late Payments Tuition not received by June 1 will be considered late. Accounts with unpaid balances after June 1 may be subject to late fees. Late fees will continue to accrue until the account is paid in full. Attendance and Participation Students with unpaid balances may be temporarily unable to participate in classes or events until the account is brought current. Participation in special events, receipt of materials, or graduation recognition may be withheld if tuition remains unpaid. Returned or Failed Payments A returned payment fee of $25 will be assessed for any check or electronic payment that is declined. Repeated failed payments may require future payments to be made via cash, certified funds, or approved electronic payment methods. Financial Hardship LRJC understands that unexpected circumstances may arise. Families experiencing financial hardship are encouraged to contact LRJC prior to June 1 to discuss possible payment arrangements. Requests are handled confidentially and at the discretion of LRJC. Non-Payment Accounts remaining unpaid after July 1 may be subject to additional administrative action, including removal from the program. No refunds will be issued for missed classes or events due to non-payment. By enrolling in Little Rock Junior Cotillion, Inc., families acknowledge and agree to this Tuition Due Date and Late Tuition Policy.

Refund Policy(Required)

By entering your full name below, you are stating that you have read and understand the terms stated. $100 of tuition payment will be refunded if LRJC is notified, in writing, on or before 1 July. After this time, we will be finalizing our classes, training staff and inviting students from the wait list as room permits. Refunds will not be issued.

Photo Policy(Required)

By entering your full name below, you are stating that you have read and understand the terms stated. By participating in our programs, you consent to having photographs and/or video taken during events and activities. These images may be used by Little Rock Junior Cotillion, Inc. for marketing, advertising, and promotional purposes, including on our website, social media, and printed materials. No names will be published with these images. If you do not wish for you or your child to appear in such photos or videos, please provide written notice to us before the start of the program or event.

Discipline Policy(Required)

By entering your full name below, you are stating that you have read and understand the terms stated. All students are expected to behave in a courteous manner, dress appropriately, and follow the rules of Cotillion. Disruptive students or students inappropriately dressed will be given a verbal warning and asked to sit. If misbehavior continues, parents will be called during the dance to pick up the disruptive student. If misbehavior still continues, the student will be dropped from membership. Tuition will not be refunded.

By entering your full name below, you are stating that you have read and understand the terms stated. Effective Date: 1 August 2025 Little Rock Junior Cotillion, Inc. (“we,” “our,” or “us”) is committed to protecting the privacy of our students, families, and community members. This Privacy Policy explains how we collect, use, and protect personal information in connection with our educational and social programs. Information We Collect We may collect the following types of personal information: Contact information:names, mailing addresses, email addresses, and phone numbers.Payment information: credit card or other payment details for tuition and event fees.Registration details: information provided during program or event sign-ups.Other personal details: any additional information you choose to share with us for program participation. How We Use Your Information We use personal information to: Process tuition and event registration payments.Communicate with you regarding schedules, events, and updates.Send newsletters and other program-related communications.Share information about future programs, events, and opportunities. Data Sharing and Disclosure We do not sell, rent, or share your personal information with other businesses, organizations, or individuals, except as required by law or to process payments securely through trusted service providers. Data Protection We use reasonable administrative, technical, and physical safeguards to protect the personal information we collect from unauthorized access, disclosure, alteration, or destruction. Your Choices You may: Opt out of receiving marketing emails by following the unsubscribe instructions in those messages.Update or correct your contact information by emailing us. Children’s Privacy We collect personal information from children only with the consent of a parent or legal guardian, and only as necessary for participation in our programs.

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Application Fee Payment Record

Price: $0.00

The required application fee is paid through the LRJC checkout before this application. No additional application fee is collected by this form.

New Student Application

New Student Application

Application

Basic Information

Legacy Information - all information must be complete to process application as a Legacy.

Consents and Fine Print

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New Student Application

Application

Basic Information

Legacy Information - all information must be complete to process application as a Legacy.

Consents and Fine Print

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Quick Links

Categories