Student

Name*

Phone*

Email*

Preferred Method of Contact

Time of Day to Call

Desired Location*

Will you be needing financial assistance?

Yes
No

Have you gone to www.fafsa.ed.gov and filled out the online application with our school code 015944?

Yes
No

Date Of Birth

*

I understand & agree

I agree, and give consent to Hays Academy of Hair Design to contact me via automated technology, email, phone and or text me at the number provided. I am aware that texting or data fees may apply and I am fully responsible for those fees and hold Hays Academy of Hair Design harmless.

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