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GLAM U LEADERSHIP SOCIETY APPLICATION
2026-2027

Society Member Information

Parent/Guardian Information

Emergency Contact (Different from Parent/Guardian If Possible)

Member Profile

In the box below, list your affiliation with any of the following if applicable:

  • School/Community Organizations

  • Community Service

  • Volunteer Work

  • Church Involvement

  • Employment

  • Leadership Roles

2026-2027 Glam U Leadership Society Investment (Choose One Option)

Deposit will be applied to full tuition. A payment plan as low as $65/month will be set up for October 2026 - May 2027

All fees are non-refundable

Liability Waiver

In consideration of the benefits of instruction provided by Glam U, Inc for my child(ren), I, intending to be legally bound, do hereby enroll my child(ren) named above, in the program and do hereby waive claim and release finally Glam U, Inc, Tiffany LeBlanc, its staff, instructors and other personnel for claim or liability for any injury or accident occurring or arising from the instructional program or incidental sponsored activities either on or off premises. I do authorize emergency first aid care to said student(s) by the Organization in the event she becomes injured or ill during instructional program or incidental sponsored activities either on or off premises. If the parents and/or guardians of the child are not immediately available at the telephone numbers provided in the agreement, I further authorize Glam U, Inc, Tiffany LeBlanc or such agents as she may authorize to retain the services of a doctor or other competent medical person in order to treat said student(s).

Photo/Video Release 

I acknowledge and give permission to Glam U, Inc to film or photograph my child for all class, promotional, or educational purposes.

Thanks for registering for the 2026-2027 Founding Cohort of Glam U Leadership Society! You will receive additional information shortly.

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