Enrollment Form for level up classesDISCLAIMER / ОТКАЗ ОТ ОТВЕТСТВЕННОСТИA one-time NON-REFUNDABLE application fee of $20.00 must be paid in order to submit your application.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *We will send you email about coursePhone *We will send you text message about courseAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Do you have any beauty license? *Choose an option:YesNoWhat kind license do you have? Do you plan on taking the State Board Licensing Exam? YesNowNot right after schoolIf you are a manicurist, can you say that you are good at it? *Preferred month of class *What courses are you very interested in? If we see high demand we make a new course on the subject. *Class Enrollment Fee *Price: $ 20.00A have read the above disclaimer and understand that the $20 application fee is NON-REFUNDBLE. * *YesStripe Credit Card *CardName on CardContinue to Payment