* Campus
* Program of Interest
* First Name
* Last Name
* Email
* Cell Phone
* Daytime Phone
* Address
* City
* State
* Zip
* High School Graduation Year
* By checking YES and submitting this form to Brillare Hairdressing Academy constitutes and confirms your written express
consent to be called and/or texted/emailed by a representative from Brillare Hairdressing Academy
using an automated telephone dialing system at the phone number(s) you provided on this form,
which may include your mobile/cell phone number. All calls placed to you will be regarding educational services that you are requesting.
You are not required to provide consent to receive information from this school.
Additionally calls may be monitored for quality assurance purposes.