REGISTRATION FORM

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Interested in working together? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

First Name*

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Birth Date*

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Address(required)

Country/Region*

Address Line 1*

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City*

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SELECT COURSE OF INTEREST (required):

Milady Standard Cosmetology
Milady Standard Esthetics: Fundamentals
Milady Standard Esthetics: Advanced
Milady Standard Nail Technology
Milady Standard Barbering
Milady Theory & Practice of Therapeutic Massage
Milady Advanced Services: Eyelashes
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SELECT BASIC COURSE OF INTEREST (required):

Milady Basic Cosmetology
Milady Basic Barbering
Milady Basic Nail Technology
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PROGRAM DURATION (required):

12 months FT 24 months PT
6 months FT 12 months PT
3 months FT 6 months PT
Other

SELECT SHORT COURSE OF INTEREST (required):

Hair Services
Haircutting
Makeup
Haircoloring
Chemical & Texture
Manicuring & Pedicuring
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FOR SHORT COURSES ONLY (required):*

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+National ID, Education Certificate & Reference*

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