SSE Registration Form

Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Phone Number
Work Number
Company
Enrollment Dates (Please Choose One)*

Est. 100-01 (January 2025)Est. 100-03 (March 2025)Est. 100-05 (May 2025)Est. 100-07 (July 2025)Est. 100-09 (September 2025)Est. 100-11 (November 2025)
Courses*
*Please choose: Traditional Full Time Day or Part Time Evening
Times*
Schedule Interview Appointment
Signature*

Clear
By signing this application you agree to enroll in Shelby School of Esthetics and pay a non - refundable application fee.
Are you applying for a scholarship? ( After submission below you will be directed to scholarship application)

YesNo
Please choose the enrollment specialist that assist you.*

Stacey GarnerTashina Hamilton
Additional Comments
If you paid Non refundable Registration (in this form)m please continue to your next step which is your Student Enrollment Agreement!
Registration Fee*

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USD$250.00 Esthetics Registration Fee. This is Non-Refundable and DOES not include your Deposit, or Textbook, Uniform, and Kit fees which is deducted from your total tuition price of $10,500.00. This registers you for the class but does not seat you until deposits or paid tuition's are completed!

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Student Registration Form