Learner Registration Form New Student Registration Form Gender* Name* First Last Date of birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact Number*Email* Occupation* Experience*In case of emergency contactDo you have any of the following medical conditions? Please check any that apply Asthma or breathing difficulties Diabetes Anxiety Open cuts or abrasions Pregnancy/breastfeeding Hepatitis Cancer Heart problems Skin disorders Recent surgery Back problems Allergies Are you currently taking any medications? Yes No If yes, please list the medication you are taking.Do you have any learning disabilities? Yes No Do you have any sight problems? Yes No Do you have any hearing problems? Yes No Have you undergone any recent cosmetic procedures, i.e. Botox, fillers, facial peels or other? Yes No If yes, please give details.Do you have any other special requirements you think may be relevant? Yes No If yes, please list.Code of conduct At the BOSS it in BEAUTY Training School, I aim to achieve a pleasant relaxed working environment, yet at the same time wish to keep it professional. To ensure that all students are given an equal opportunity and the best environment to work from, we would ask that you adhere to the following: • Mobile phones are to be switched of in the classroom during learning times • No food or drink is to be consumed in the classroom • Prompt arrival is important please arrive 15 minutes before your course start time later arrival may incur administration costs and a transfer of training day • Use of foul language will not be tolerated • Aggression or violence will not be tolerated and may lead to removal from your course, accreditation not obtained and moneys paid forfeited • Smoking is not permitted on the premises this is also in the case of e-cigarettes • Chewing gum is not permitted • Appropriate clothing and shoes should be worn tunic and closed toe shoes are advised. Please check the box above to indicate your agreement* I agree that the information that I have given is correct and that I agree to abide by BOSS it in BEAUTY code of conduct.Please check the box above to indicate your agreementSignature: please print name below to agree to code of conduct* Date* MM slash DD slash YYYY