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This form may be printed from your web browser to be filled out, and mailed to GIC.

ENROLLMENT FORM 9901/E
I apply to enroll for the above Examination

Name
________________________________________________________________________

Address
________________________________________________________________________

________________________________________________________________________

Name of Employer
________________________________________________________________________

Name of Salon (of owner) ____________________________________
Is your Salon:
___ Sole Proprietorship
___ Partnership
___ Corporation

Residential Tel#:
________________________________________________________________________

Business Tel#:
________________________________________________________________________

Fax:____________________________ Email:____________________________

Dates and Test Centers (in order of preference)

1. Date______________________ Center_____________________

2. Date______________________ Center_____________________

I agree to abide by all the conditions of enrollment as laid down by the Grooming Institute of Canada.
The cost of the Examination including the Practical Test fees is $250.00 + GST /%

I UNDERSTAND THAT ALL TEST DATES ARE PROVISIONAL UNTIL THE GROOMING INSTITUTE OF CANADA HAS RECEIVED ALL CANDIDATES' FEES AND WRITTEN CONFIRMATION OF ATTENDANCE.

Signed_____________________________________ Date_____________

Please make cheques payable to the Grooming Institute of Canada and mail to:
92 Lakeshore Road East
Concourse Level
Mississauga, Ontario
L5G 4S2
Tel: 905-278-9663
Fax: 905-278-1045

Code 0299