Student’s Name (check spelling. This will also be printed on certificate)
*
First Name
Last Name
Student Age (at time of class)
*
Parent/Legal Guardian:
*
Cell Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address (check spelling):
*
example@example.com
Is the student right or left handed?:
*
Right Handed
Left Handed
Experience:
Any prior experience in cosmetology or related fields?
*
Yes
No
Does your child know any of these techniques? It's ok if they don't. This will help us to know what level to start them on:
*
Cornrow
Feed in braid
Single braid
Flat Iron
None
What does your child hope to achieve from the class?
How did you hear about this program (e.g. social media, friend, other)?
Parent/Guardian Signature:
*
Payment Options
Note: If you prefer to pay with Zelle, you can skip the payment section and send your payment to 443-864-1740. Please ensure your payment is sent before submitting the form.
Acceptable forms of payment, choose one:
*
Zelle (No fee)
Credit/debit (fees may apply)
Afterpay (fees may apply)
Choose one if you are not paying with zelle.
prev
next
( X )
Pay In Full
(5 spots left)
$300.00
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
deposit (non-refundable)
Balance of $225 will be due no later than March 22nd
$75.00
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Afterpay
After submitting the form, you will be redirected to Afterpay to complete the payment.
Submit
Submit
Should be Empty: