Cosmetology Instructors Network

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PERSONAL INFORMATION

Note: Fields with an * are required to continue.

First Name

Last Name

Email Address

Repeat Email Address

Password

Repeat Password

IMPORTANT: Your Email Address and Password (between 6 and 20 characters) will be used to access this record in the future (from your Registration Dashboard)

Phone Number

Home Address

Country

City

State

Zip

School Name

Job Title

STATE LICENSE

INSTRUCTIONS: The state license number is required.

However, if you DO NOT have a State License Number please enter “N/A” for the State License Number and for the expiration date please enter “January 1, 1965”.

State Certification Number

License State

Expiration Date

PRIVACY ACKNOWLEDGEMENT

I understand that Cosmetology Instructors Network 2025 Educational Summit will submit a record of my course completion records may be accessed by or shared with such regulators as state boards of cosmetology on a password-protected need-to-know basis. In addition, I understand that I may review my records of completions by contacting Cosmetology Instructors Network.

Yes

I agree to the Cosmetology Instructors Network Terms of Service.

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Customer details

PERSONAL INFORMATION

Note: Fields with an * are required to continue.

IMPORTANT: Your Email Address and Password (between 6 and 20 characters) will be used to access this record in the future (from your Registration Dashboard)

STATE LICENSE

INSTRUCTIONS: The state license number is required.

However, if you DO NOT have a State License Number please enter “N/A” for the State License Number and for the expiration date please enter “January 1, 1965”.

PRIVACY ACKNOWLEDGEMENT

Order Summary

Payment