|
First Name: * |
|
Last Name: * |
|
Address: * |
|
City: * |
|
State: * |
|
Zip: * |
|
Phone: * |
If you don't have a landline phone, enter the word NONE
|
Cell Phone: * |
If you don't have a cell phone, enter the word NONE
|
Email: * |
|
Type of Course: * |
Cosmetology
Esthetics
Nail Technology
|
When would you like to begin classes? * |
ASAP
1-3 Months
3-6 Months
6+ Months
|
Which location would you like to attend? * |
Park Rapids, MN
Brainerd, MN
Alexandria, MN
|
May we text you? Standard messaging rates may apply. Please check with your carrier. * |
Yes
No
|
How did you hear about us? * |
|
Additional Comments: * |
|
Image Verification |
 |
|
|
|