Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Parent/Guardian

(if student is under 18)

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Gender *

Male

Female

Gender Neutral

Area of Interest *

Laser Hair Removal Program (30 Hours)

Facial Specialist Program (260 Hours)

Electrology Program (320 Hours)

Continuing Education/ CEU

How soon are you looking to enroll? *

As soon as possible

Less than 1 year

Over 1 year from now

In the future - 2+ years

Cancellation & Refund Policy *

All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated. Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made according to the following refund schedule: _____ Cancellation can be made in person, by electronic mail, by Certified Mail or by termination. _____ All monies will be refunded if the school does not accept the applicant or if the student cancels within three (3) business days after signing the enrollment agreement and making initial payment. _____ Cancellation after the third (3rd) Business Day, but before the first class, will result in a refund of all monies paid, with the exception of the registration fee (not to exceed $150.00). _____ Cancellation after attendance has begun, but prior to 40% completion of the program, will result in a Pro Rata refund computed on the number of hours completed to the total program hours. Home Study Hours from date of admission will be considered in this calculation. _____ Cancellation after completing 40% of the program will result in no refund. _____ Termination Date: When calculating the refund due to a student, the last date of actual attendance by the student is used in the calculation unless earlier written notice was received. _____ Refunds will be made within 30 business days of termination of the student’s enrollment or receipt of a Cancellation Notice from the student. Refunds will be issued in form of a check. Student must make appointment with Director to complete exit interview to receive any refund due student. GROUNDS FOR TERMINATION A student’s enrollment can be terminated at the discretion of the institution for insufficient academic progress, non-payment of academic costs, or failure to comply with rules and policies established by the institution as outlined in the catalog and this agreement. EMPLOYMENT ASSISTANCE Although placement assistance may be offered, the institution does not guarantee employment. ACKNOWLEDGEMENT This document and the catalog constitute a binding contract between the institution and the student and no further modification or representation except as herein expressed by both parties will be recognized. CREDENTIAL AWARDED Upon satisfactory completion of the program the student will be awarded a diploma.

I agree to the Cancellation & Refund Policies