One-Year Partnership Program Application

Complete this application. A $100 deposit will be requested after you submit. If accepted, the deposit is applied to your program tuition. If not a fit, it’s refunded.

First name

Last name

Phone

I agree to receive texts about my application and scheduling.

Address

I confirm I am local and / or am able to attend 8 in-person sessions

Applicant Type

Woman enrolling for herself

Mother + daughter (daughter age 10–15; mother attends)

Parent enrolling teen/young adult (16+)

If mother/parent: Child’s name + age

Cohort preference

Jan - Feb

Apr - May

Jul - Aug

Oct - Nov

What is your current wash routine? (Wash frequency; products used; what’s hardest/most confusing?)

Goals: what must change in the next 12 months?

Commitment: Can you complete both sessions in the same month each quarter?

Yes

No

Policy Agreement

I understand rescheduling requires 48+ hours; inside 48 hours = forfeited session.

I understand late arrivals end at the original end time.

I understand this program excludes wigs, weaves, braids, and color.

I understand this program is preventive/transformation, not medical treatment.

Availability: Typical days/times you can attend (note: Sun/Mon/Tue preferred; weekday slots vary)

Texting boundaries: "I understand reply time may be up to 48 hours."

Budget readiness: “I understand the investment is $7,500 (pay-in-full) or 2 payments.”

$100 deposit consent: “I agree to submit the $100 application deposit after submitting this form.”

Anything else we should know?

Application Deposit

$100