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Cosmetology
Select Class*  
Nail/Manicuring, $189
Natural Hair, $189
Esthetics - Part I, $189
Esthetics - Part II, $189
*Master Educator Instructor Trng.- Part I, $189
*Master Educator Instructor Trng.- Part II, $189

*Students MUST successfully complete Part I and II in order to fulfill state board requirements for the course as well as meet prerequisites before enrolling.
**The cost of textbooks, state board exams, and supplies are not included.
Class Start Date*  
Class End Date*  
Section Number  
Class Location*  
E-Mail
Important: Enter a valid e-mail address. All correspondence will be sent to this address.
E-Mail:*  
Registrant Information
First Name:*  
Middle Initial:  
Last Name:*  
Address Line 1:*  
Address Line 2:  
City:*  
State:*  
County (NC residents only)  
Zip Code:*  
Home Phone:*  
Cell Phone:*  
Sex*  
Male Female 

Date of Birth*  
  
  
SSN*  
Colleges and Universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and your own college/university communities, to describe the racial ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following two questions:
Work Phone:  
Do you consider yourself to be Hispanic/Latino?*  
Yes No 

Ethnic Origin:*  
Educational Experience
Highest Educational Level Completed*  
Employment Status
Employment Status:*  
Electronic Signature
I understand that having any unpaid balances wtih Piedmont Community College may affect my enrollment in this class.
Signature:*  
Enter first & last name
Date*  
Photography & Quote Release: I hereby authorize Piedmont Community College to use my image and/or quotes for any use the College deems appropriate in the promotion and marketing of PCC. I fully discharge PCC from any and all claims, monetary or otherwise, arising out of the image or quote.
Signature:  
Optional, sign if authorized
Date:  
Payment Information
*Payment for the course must be received prior to the first day of the course. You will receive an email with payment instructions, that includes a payment deadline, once you have been registered to the course. Please allow 24 business hours to receive this email.
Amount to be Charged*  
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