* First Name
* Last Name
* Phone
* Alternate Phone
* Email Address
* Street Address
* City
* State
* Zip Code
* High School Graduation Year
* Campus
* Program of Interest
* By checking YES and submitting this form to Empire Beauty Schoool constitutes and confirms your written express
consent to be called and/or texted/emailed by a representative from Empire Beauty Schoool
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.