Betty has been a continual presence in the Waldo area since she founded the Betty Tillotson Studio of Dance in 1950. She was designated as the Honorary Mayor of Waldo in 2010 and in 2018 she received the Waldo Legacy award.
Some of Betty's original students are still dancing in the adult classes. Betty is a member of Dance Masters of America, Inc., an international organization of dance teachers founded in 1884. Members must pass entrance examinations in each subject they teach and must follow a code of strict professional ethics.
In 1977, Betty founded the Kansas City Tap and Musical Comedy Dance Company. Mildred Lyons was Betty's first dance teacher and she danced and taught there for many years with her good friend, Betty Grimes.