Pre-Registration Form

Name of Participant

First NameLast Name

Parent or Guardian Full Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

School Name/Grade

Age

Shirt Size (Unisex Child or Adult)

Is your child interested in pursuing a career in the beauty industry?

What does your child love most about the beauty industry?

Are you willing to invest in your child's future?

How much are you willing to invest in the beauty industry for your child?

up to $100 per monthup to $200 per monthother

If you select 'other' please enter amount below.

Will your child be interested in an extended program?

Please note this is only a pre-registration form. This will be kept on file for upcoming workshops your child may be interested in. Registration forms and applications will be sent prior to workshop schedule. You will be informed of all fees necessary for your child to attend the workshop.

We thank you for your interest in our Birth, Build and Beyond Youth Workshop and is looking forward to sharing an amazing experience with you!