2018Apple Blossom Cotillion

Application Form

Must be received by 5:00pm, Monday, December4, 2017

High school senior girls in the communities served by Springfield Medical Care Systems (SMCS) – including the high schools of Springfield, Bellows Falls, Green Mountain, Black River, Fall Mountain, Stevens, Windsor, Compass School, Vermont Academy, and Woodstock – are eligible to participate.

The 62nd annual Apple Blossom Cotillion will be on Friday and Saturday, May 45, 2018at Riverside Gymnasium in Springfield, Vermont.

The Director of the 2018Cotillion isMadison Moreau.While relatively new to the local area, she has been studying and teaching dance for more than 15 years. Her choreographic pieces were featured at Hampshire College, where she was a student, and she worked for the Basketball Hall of Fame as a choreographer. She also volunteered with the Good Company Theater, a non-profit community organization in Granby, Connecticut, before moving to Springfield, Vermont.

The Cotillion is a fund raising event on behalf of Springfield Hospital and SMCS.

Judging is done by a minimum of five independent individuals, who have experience with or interest in community productions, and have no conflict of interest with any contestant.

Participation

Applicants who submit a completed application by the due date will participate unless the number of applicants exceeds the capacity of the production.

In that case, a random drawing will be held on December 7to determine the participants.

Escorts

Contestants are responsible for selecting their escorts. Contestants and escorts work together throughout the rehearsals and the performances.

Rehearsals

Rehearsals are important and mandatory. Any contestant who misses 3 or more rehearsals is ineligible for the title of Queen or Court member. An attendance coordinator from the Cotillion committee will be present at every rehearsal. A contestant’s eligibility is based on this attendance record; the final decision rests with SMCS staff.

Rehearsals are on Sundays from 1-3 pm at Riverside Gymnasium.

The first rehearsal/orientation session is Sunday, January 7, 2018.

Parents are encouraged to attend the orientation part of this session. The week of the Cotillion, there are rehearsals Monday – Thursday evenings, April 30 - May 3.

Cost

For contestants, dresses will cost $175 and shoes will cost $35, for a total cost of $210.

A deposit of $100 is due at the first rehearsal. Full payment is due when delivered.

For escorts, tuxedo rentals will cost $140 and a deposit is due by February 25 and full payment is due when delivered.

Checks may be made payable toApple Blossom Cotillion.

Applications

Mail completed application form to:

Development Office,SMCS, PO Box 2003, Springfield, VT 05156-2003

or deliver it to the information desk at Springfield Hospital.

Questions

Contact: Larry Kraft, Development Director, 802-885-7644,

2018 Apple Blossom Cotillion

Application Form

Name ______

(First)(Middle)(Last)

School______

Date of Birth ______Telephone ______

(Month) (Day) (Year)

Mailing Address______

(Street)

______

(City, State, Zipcode)

E-mail address______

Names of Parent(s)/Guardian(s)(to be announced at Cotillion)______

______

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Escort’s Name ______

Escort’s School______

Escort’s Date of Birth ______Escort’s Telephone ______

Escort’s Mailing Address______

______

Escort’s e-mail ______

Escort’s Parent(s)/Guardian(s)(to be announced at Cotillion)

______

______

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Participation in the Cotillion includes its broadcast on SAPA-TV and the authorization to use photographs of its participants for promotional purposes.

SignaturesREQUIRED

Applicant______

Parent/Guardian of Applicant ______

Parent/Guardian of Escort ______

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Personal Statement

On the reverse side of this form, please tell us why you want to participate in the Apple Blossom Cotillion.

______

______

______

______