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Park Falls Nail Academy and Salon
149 2nd Ave North, Park Falls, WI 54552
715-762-0043

Application
Name

DOB

Street Address
City

State

ZIP Code

Phone Number

Driver's License

Email
Why did you decide on a career in Nail Technology?

When are you interested in beginning your program?
Are you age over the age of 18?

Yes

If no, do you have the approval of a parent or guardian?

No
Yes

No

***Please note: if under 18, a legal parent or guardian must cosign this application***

Education
Do you have a high GED or equivalent?

Yes

Have you attended any post-secondary schools?

No
Yes

No

If yes, please list name and city, state of schools attended:

Are you transferring hours from a different school of manicuring?

Yes

No

If yes, how many and from what school?

*** Please note: Students transferring hours must provide proof of study and hours obtained***

References
Name
Phone

Relation
Years Known

***
Name
Phone

Relation
Years Known

***
Name
Phone

Relation
Years Known

Application Agreement
I,
, am applying for admittance to the Park Falls Nail
Academy and Salon. I agree that all information I have listed here is true. I understand that if I
provide false information I may be denied admittance.

Student Signature

Date

Parent/Guardian Agreement
If students are under 18 years of age, parents please fill out this section:
I,
, am a legal parent or guardian of the applicant and allow
my child to enroll. I agree that all information listed here is true. I understand that if my child
provides false information they may be denied admittance.
Parent or Guardian Signature

Date






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