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To withdraw from a Capri Beauty College program, please provide the following information.
Name:
Address:
City:
State:
ALASKAALABAMAARKANSASARIZONACALIFORNIACOLORADOCONNECTICUTDISTRICT OF COLUMBIADELAWAREFLORIDAGEORGIAGUAMHAWAIIIOWAIDAHOILLINOISINDIANAKANSASKENTUCKYLOUISIANAMASSACHUSETTSMARYLANDMAINEMICHIGANMINNESOTAMISSOURIMISSISSIPPIMONTANANORTH CAROLINANORTH DAKOTANEBRASKANEW HAMPSHIRENEW JERSEYNEW MEXICONEVADANEW YORKOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVIRGINIAVIRGIN ISLANDSVERMONTWASHINGTONWISCONSINWEST VIRGINIAWYOMING ZIP:
Student ID:
Date of Birth:
Home phone:
Mobile phone:
Can you receive text messages? YesNo
eMail address:
Reason for withdrawal:
Thank you. A representative of the College will contact you with exit counseling materials.
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