Cassia Beauty Academy
Enrolment/Inquiry Form
Customer Details:
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Date of Birth
*
-
Month
-
Day
Year
Date
How did you hear about us?
*
Please Select
Google
Instagram
Youtube
Other
Which course would you like to enquire about ?
*
Please Select
Level 2 NVQ Diploma in Beauty Therapy General
Level 2 NVQ Diploma in Hairdressing
Level 2 NVQ Diploma in Nail Services
Level 3 NVQ Diploma in Beauty Therapy General
Level 3 NVQ Diploma in Hairdressing
Level 3 NVQ Diploma in Nail Services
Any further information / Questions ?
Terms and Conditions
I agree with the terms and conditions
*
Yes
Submit
Should be Empty: