Entrance to school application form

    NAME (required)

    Furigana (required)

    Email (required)

    Phone # (required)

    Gender (required)

    FemaleMale

    Date of birth (required)

    Zip code

    Address

    Course (required)

    Natural Makeup CourseBasic Makeup CourseArtist Makeup Course / BasicArtist Makeup Course / TechnicalGeneral course

    Select the payment method (required)

    CashInstallment paymentCredit card(VISA, MasterCard, JCB, American Express, Diners Club, Discover Card, UC, 銀聯(Union Pay))

    Note