NGBI LEADERSHIP BROWNSVILLE

NeXtGen Beauty Leadership Academy

Fill out the form carefully for registration
Student name*

First NameLast Name
E-mail (parent)*
example@example.com
Date of Birth*

MonthDayYear
Date
Gender*
Let us know what Beauty Interest are you interested in. *
Student IG*
Student TikTok*
Email (student)*
example@example.com
Phone Number (student)
Please enter a valid phone number.
Which location will you attend? *
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In case of emergency...
Emergency Contact:*

First NameLast Name
Relationship*
Contact Number*
Taking Any Medications, Currently?*

YesNo
Please List It Here and any allergens of any. *

My Products*

PAID IN FULL

There is no refunds..

$225.00

Registration Deposit

A Deposit to secure your student seat. You can pay increments of $75 every 2 weeks. Payment has to be paid in full 2 weeks prior to first day of Leadership Camp. ****Payments need to be paid in full by July 13. There is no refunds

$75.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Signature of Agreement of payment.
Should be Empty:

NeXtGen Beauty Leadership Academy

In case of emergency...

Payment Methods