Teen Cotillion Application Page - Park and Recreation

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth(Required)

High School Name(Required)

Grade Level(Required)

Please enter a number from 9 to 12.

How do you identify?(Required)

Do you have a Rec Card?(Required)

Yes

Not Sure

What specific talent(s) do you have in the Creative, Visual, and Performing Arts?(Required)

What Community Center are you involved with?

Parent/Guardian Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Does your parent have an M-NCPPC Rectrac/Parks Direct account?(Required)

Yes

Not Sure

Interest Questions

Will you need assistance finding a dance partner for the parent/guardian dance routine?(Required)

Yes

Create a biographic profile of yourself incorporating your interests. (i.e. extracurricular activities, favorite school subjects, volunteer experience, awards, and future career plans, etc.) Don't forget to proofread.(Required)

What knowledge and skills would you like to gain if you participated in the Teen Cotillion?(Required)

Write down a phrase, quote or message that is no more than 2 sentences, which greatly inspires you. Please explain why it inspires you.(Required)

Think of a person who has had a positive influence in your life. Name that person and the qualities they possess that you would like to develop in your own life.(Required)

Please list the extracurricular activities, sports, clubs and achievements you participate in during the school year. N/A if applicable(Required)

Could your involvement in these activities hinder your participation in the Cotillion?

Yes