I, hereby make an application to enroll in and for admittance to an approved barber school of barbering in the State of Ohio as a student. This application is made under and pursuant to the provisions of the rules and regulations of the Board of Barbers.
I, the above-named applicant, do hereby certify and declare that the above and foregoing statements are true. I further acknowedge that I will comply with the rules and regulations issued by the State of Ohio.