Registration | Gollatz Cotillion & Social Programs For Children

The Gollatz Cotillion Registration 2026 - 2027

1st Child's First and Last Name

Boy or Girl

Grade ( Fall 2026)

School Attending

Home Address

If Registering a second child - First and Last Name.

Boy or Girl (2nd child)

2nd Child - Grade (Fall 2026)

School Attending

City

Zip Code

Phone

Community/Location - Please Select from the Catagories to the Right

Payment Required

Indian Wells Country Club $345.00

La Canada at the La Canada Country Club $408.00

Tustin Ranch Golf Club $498.00

Which Fork First? Dining Event / La Canada $98.00

Paying by credit card there will be a $10.00 service fee (per family) non-refundable

Paying by check (no additional service fee) mail check to: The Gollatz Cotillion, 18500 Arrrowhead Blvd. Devore Heights, CA. 92407

If placing a deposit for Cotillion registration ~ The deposit of $250.00 is due at the time of registration with the remainder due by no later than August 31, 2026. If placing a deposit ($250.00) the deposit is non - refundable.

Name on Credit Card

Credit Card

Expiration Date of credit card

CVV Code - on back of card

If paying by credit card a $10.00 credit card service fee will be added to the membership. There is a $250.00 non-refundable fee if registration is canceled or withdrawn after 30 days of processed payment.

Optional - I would be interested in chaperoning a Cotillion event - Please choose a date:__________________________

I give my consent for my child to attend

Thank you for submitting registration to the Gollatz Cotillion. A confirmation email will be sent from the Gollatz business office after the registration has been processed.