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01/05/09 |
                   
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Application for Admission
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| First Name | |
| Last Name | |
| Date of Birth | |
| Sex | Male Female |
| Social Security # | |
| Driver's License # | |
| How can we reach you? | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Country | |
| Cell Phone | |
| Home Phone | |
| FAX | |
| Are you: | Right-handed Left-handed |
| Do you have any allergies or reactions to any chemicals? | Yes No |
| Do you smoke or use tobacco products? | Yes No |
| Do you have any back problems or problems lifting heavy weight? | Yes No |
| Do you have a current tetanus vaccination? (required to attend class) | Yes No |
| Do you have any medical (mental or physical), conditions or handicaps which might prevent you from fully participating in all class assignments? |
Yes
No
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| If so, please describe... | |
| Enter your current occupation-the one you're going to escape from! (if applicable)- | |
| Do you have any previous experience working with pets? | Yes No |
| If so, please tell us about it! | |
| Which class times are you going to attend? | |
| Which location are you going to attend? | |
| Which course would you like to enroll in? | |
| How will you be paying for your tuition? | |
| How soon can you start? | -- mm/dd/yy |
| What size smock top do you need? |
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| Why do you want to be a professional groomer? | |
| What are your plans right after you graduate? | |
| Are you interested in: | Owning your own salon? Mobile grooming? Working for someone else? |
| Can you accept constructive criticism? | Yes No |
| Are there any other comments you would like to make to help us get to know you better? |
I understand that the registration fee of $150.00 is required and is non-refundable and must accompany my application in order for it to be processed.
Your registration fee may be
paid now with a check, credit card or debit card using Pay Pal.
You do NOT need to have a PayPal account to pay with any of these forms of
payment. Your application
will not be processed until we receive the registration fee. Once
you have paid, click the "submit" button to submit your application.
Click "Submit" below only after you have paid with the "Pay Now" button
which is below that.
Click This Button to Reserve Your Place in Class
Click here for Directions to the Marietta Pet Design
Click here for Directions to the Alpharetta Pet Design
For praise, problems, suggestions, complaints or ideas, please call 1-800-658-4979
