Entrance to school application form

NAME (required)

Furigana (required)

Email (required)

Phone # (required)

Gender (required)
 Female Male

Date of birth (required)

Zip code

Address

Course (required)
 Natural Makeup Course Basic Makeup Course Artist Makeup Course / Basic Artist Makeup Course / Technical General course

Select the payment method (required)
 Cash Installment payment Credit card(VISA, MasterCard, JCB, American Express, Diners Club, Discover Card, UC, 銀聯(Union Pay))

Note