Junior Debutante Form

All Junior Debutantes must have a parent that is an active member of BWC and/or PMC for a minimum of two years and in good standing for their daughters to be considered for nomination. In addition all Junior Debutante’s must be nominated ( someone other than a parent) by a member of the BWC or PMC.

All nominations are reviewed and approved by the BWC.

BWC Nominating Member: (Name)

Member Of:

Ballet Women's Committee

Poinsettia Men's Club

Junior Deb's Full Name

Last, First Middle (Required)

Preferred Name

Junior Deb Cell Phone

(###)

###

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Junior Deb Email

Junior Deb's Address

Highschool

Father's Full Name

Mother's Full Name

First, Middle, Last - Required

Mother's Preferred Phone

(###)

###

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Mother's Email

Mother's Address (if different than daughters)

Father's Address (if different from daughter)

Step Father's Full Name (if applicable)

First, Middle, Last

Step Father's Address ( if different than Jr Deb)

Step Mother's Full Name (if applicable)

First, Middle, Last

Step Mother's Address (if different than Jr Deb)