TAPC Application for Enrollment

Application for Enrollment

This application is to be completed in detail, signed by applicant, and returned to The Academy of Permanent Cosmetics along with $500 deposit and $100 application fee.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.

TAPC Deposit & Application Fee*

TAPC Deposit

$500.00

TAPC Application Fee

$100.00

Total

$0.00