A-1 Beauty & Barber College - Online
Registration         
      Fee
        $75.00
    A-1 Beauty & Barber College
         3002 Tyre Neck Road
       Portsmouth, VA  23703
Ph: 757 638 -7600  Fax: 757 638 -1537

Address__________________________________(VA Residents only)
                                                                                                 (POB N/A)
City_____________________________________Zip___________

Home Phone(     )__________________ Work Phone (      )___________

Birthdate: Mo______ Day______ Year_______    Sex: _____M   ______F

Citizenship ______US Citizen   ______Eligible Legal Alien# -A_________

County of Residence________________ State if non-resident_________

Email Address(needed for online classes)

__________________________@_____________________

Social Security Number_________________________________
Drivers License or ID Number________________________

Course of Interest:       Cosmetology_____   Barbering_______
                                   
                                  Braiding _____ Nail Technology______

                                   Esthetics________  Waxing________

Please fax  or mail a copy of this application and a copy of  your drivers
license to the above address or fax number. a receipt will be sent to you
within 24hrs of payment