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Name*

E-Mail*

Phone Number*

Date of Birth* (MM/DD/YYYY)

Address*

City*

State*

Zip*

Subject

Emergency Contact Name*

Emergency Contact Phone*

Highschool Attended*

Graduate*
 Yes No

GED Holder*
 Yes No

How did you hear about us?*
 Friend Yellow Page Ad Beauty School Directory Radio Advertising Referred by Salon Other

Name or location of referral

What is the most important factor in choosing our school?*

Which class date would you like to begin your education*

Which location do you plan to attend?*

Do you need left or right handed shears?*

T-Shirt size/style*

If transfer student, previous school attended

If transfer student, how many hours

Additional Comments/Questions

To Finalize your Application, Please Submit the Following

  • This completed application form by clicking "Submit".
  • A non-refundable $100 registration fee. Payment instructions will follow.
  • A wallet sized photography upon finalizing.
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