I am enrolling my tween in: Date of Class:________________________________ Location of Class: _______________________________
Name ______________________________________________ Date______________ Age __________Date of Birth___________________Male or Female_______________ Grade_________________School__________________________________________ Address ______________________________________ E-mail ___________________ City, State, Zip__________________________________________________________ Parents Names: _________________________________________________________ Phone (work)_________________(home)__________________(cell)_______________ ___________________________________________ List any food allergies, medical conditions, or current medicines your child is taking: ____________________________________________________________________ List skills you wish to gain from this camp and your primary reason for enrolling: _____________________________________________________________________ Where did you first hear about our boot camp? ____________________________________ Hobbies and Awards: ____________________________________________________
Requested summer session Date:_____________________________Investment $250 for four weeks or $400.00 for 8 weeks per person
Basic natural hair care instruction, grooming,basic life skills, proper etiquette and award of completion.
Class Fee is due upon enrollment (Make checks payable to Essence Hair academy ___ Enclosed is total investment in the amount of $__________ Method of Payment (Circle One): * Check Visa Mastercard Credit Card #_____________________________________ Expiration Date_________ Name as it appears on the card:________________________ Charge Amount: ________ Signature _________________________________________Date___________________
See Current Schedule for Upcoming Dates - (Private Consultations Available) Reserve Your Space Now - Confirmation Mailed Prior to Class Limited Space Available Enrollment priority is based on the order in which form and fee is received. *Cancellation must be made 72 hours prior to class time. Fee is non-refundable.