LENA SALON CORP
Part Time Nail Technician Training Program Agreement
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City:________________________State:__________Zipcode:________Home Phone:_________
Employer:_______________________________ Work Phone: __________________________
Occupation:____________________________ From: _____/_____/____ To:____/_____/____
Training Location:
Name of Shop:__________________________________________________________________
Address:_______________________________________________________________________
City:________________________ DE, Zipcode_________________ Phone_________________
Credit Card Number________________________________ Expiration:____________________
Credit Card Holder: ______________________________________________________________
Address:_______________________________________________________________________
City:________________________State__________Zipcode_________Phone:_______________
I understand and agree to the following with Lena's Day Spa:
I also understand the following requirements to receive a Nail Technician License from the State Board of Delaware:
Student:______________________________ Lena's Day Spa____________________________
Date:_________________________________ Date___________________________________