Toggle navigation
Loxx Academy
Home
Our School
Introduction
About
Studies
Application Info
Career
Our Salon
Gallery
Contact Us
Contact Information
Inquiries
(250) 561-7499
LOXX ACADEMY
INQUIRE NOW!
Request some information before applying.
APPLY ONLINE NOW!
Let's get started!
Home
Registration Form - Pivot Point Programs
First Name:*
Last Name:*
Address*
City*
Province:*
Select One
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code*
Phone:*
Cell Phone:
Email:*
Check here to receive email updates
Occupation:
Employer:
Emergency Contact*
Are you under 19?*
Yes
No
If yes parent/guardian signature will be required. Is this possible?
I am applying for:*
Fundamentals to Cosmetology
Sculpture
Colour
Hair Design
Perming and Relaxing
Nail Technology
Babe Hair Extensions
Inverness Ear and Nose Piercing
How are you financing your course?*
Education*
Select One
Diploma - Please specify
Undergraduate Degree - Please specify
Graduate Degree - Please specify
Other - Please specify
Please specify:
Do you have any additional education or experience that may relate to the study of cosmetology? If yes, please specify.
Please confirm that you are not a robot.