SWN Academy Course Registration Form

SWN Academy Course Registration Form
What program are you planning to enroll with?
Student Information
Student Name

First NameLast Name
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Cell Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Nail Training / Experience
How did you learn about this course?

Other
Do you need a Nail Technician Starter Kit
If you are not purchasing a nail technician start kit, please make sure you have these for the class:

- professional rechargeable e-filer
- UV curing light
- drill bit kit
- art brushes
Any additional comments or information you would like to share?
Should be Empty: