| Print |

REGISTRATION FORM 2010 - 2011

BEAU MONDE COSMETOLOGY PROGRAMS

Please check which program(s) you are registering for:

 ____ ** Spring Cosmetology Exploration Program** - Starts March 6, 2010

____ ** Fall Cosmetology Exploration Program**-Starts October 2, 2010

 

PLEASE PRINT

 

Student Name_________________________________ School_____________________

 

Yr. in School____________________________Counselor Name____________________

 

Student Home Address___________________________State___________Zip________

 

Student E-mail__________________________________Home Phone_______________

 

Cell Phone or Message Phone________________________________________________

 

PLEASE FAX TO:  ADMISSIONS AT: 503-241-2823

Or Mail to:

Beau Monde College of Hair Design
1221 SW 12th Ave.
Portland, OR 97205