fall 2024

To register for Riviera Junior Cotillion, please complete the form below.

• STUDENT*

  First Name	Last Name	Male/Female	Grade	School

  Enter additional students by selecting the plus sign to the right
• PARENT NAME*
• CELL*
• EMAIL* (Required for Cotillion updates and reminders.)*
  Enter Email Confirm Email
• Please check box if you are a Riviera County Club Member.
  • Yes, I am a member of Riviera Country Club.

• TUITION IS $350 PER CHILD.

• Would you like to pay with PayPal? Please note Paypal charges and service fee.*
  • Yes
  • No
• To pay now via PayPal, please choose the total number of students you are registering below:
  • 1 Student
  • 2 Students
  • 3 Students
• Total
  $0.00

IF PAYING BY CHECK, PLEASE MAKE CHECK PAYABLE TO POLITE COMPANY AND MAIL TO:
Polite Company
1229 Aduana Avenue
Coral Gables, FL 33146

For class details, visit our website at
www.politecompany.org

PLEASE DIRECT ALL QUESTIONS TO:
Caroline Zachar, Director
Polite Company
czachar@politecompany.org
(305) 338-5973