• Kentucky State Board of Cosmetology - Request Student Certification Permission

    Louisville Beauty Academy - Agreement to Give Permission To Request Information
  • Student Permission To Request Info

    Student Permission To Request Info

    This is a contract binding both the student and the school. You are advised to obtain independent legal advice before developing a final agreement.
  • LOUISVILLE BEAUTY ACADEMY
    1049 BARDSTOWN RD LOUISVILLE KY 40204
    502-625-5531
    www.LouisvilleBeautyAcademy.net
    admin@louisvillebeautyacademy.net

  • Student Information

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  • Former School Information

    School Certification To Be Requested From
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  • Student Acknowledgement

  • I agreed and gave Louisville Beauty Academy the permission to request my Kentucky State Board of Cosmetology and Hairdresser certification of the current and past/existing completed hours or licensing information. 

    I agreed to pay a $100 processing fee to Louisville Beauty Academy for this application of information request 

    Contract Acceptance

    I, the undersigned, have read and understand this agreement and acknowledge receipt of a copy. It is further understood and agreed that this agreement supersedes all prior or contemporaneous verbal or written agreements and may not be modified without the written agreement of the student and the School officials. I also understand that if I default upon this agreement I will be responsible for payment of any collection fees or attorney fees incurred by _Louisville Beauty Academy__ (school name).  

    My signature below signifies that I have read and understood all aspects of this agreement and do recognize my legal responsibilities in regard to this contract.

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