2026 Crimson & Cream Cotillion Sign-Up

2026 Crimson & Cream Cotillion Sign-Up

This is the official Cotillion Application. Once you submit it, you will receive an email confirmation from the chapter. Your official transcripts must be submitted by using your school electronic system. Parent Permission forms (sent via email directly to parents) and Transcripts should be sent via email to: dstcotillionpeoria@gmail.com by February 27, 2026.
Future Debutante Information

All debutantes must be current 12th grade High School students, and will not reach the age of 20 by graduation.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
High School*
Age*
Birthday*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email*
example@example.com
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Parent/Guardian Name

First NameLast Name
Secondary Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent/Guardian Email
example@example.com
Father Figure and Escort Information

Escorts must be between the ages of 14-19. If you have an idea of who your escort will be, please include their contact information below - even if you have not confirmed their participation.
Father Figure's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Escort's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

2026 Crimson & Cream Cotillion Sign-Up

Future Debutante Information

Emergency Contact Information

Father Figure and Escort Information