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Class Registration
A course in mind? Select it here with our template! Form used to signup for class registrations of various educational programs.
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1
Student Name
*
This field is required.
On your certification
First Name
Middle Name
Last Name
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2
Gender
Please Select
Male
Female
N/A
Please Select
Please Select
Male
Female
N/A
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3
E-mail
*
This field is required.
example@example.com
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4
Phone Number
*
This field is required.
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5
Work Number
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6
Company
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7
Interest
*
This field is required.
Hair Braids
Wig Installation
Micro needling hair growth
Acné Booth Camp
Eyelashes installation
Maquillage permanent des lèvres
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8
Photographie; Consent I hereby grant permission to Madame G to photograph and video me, and otherwise capture my image. I further grant to Madame G the right to reproduce, use, exhibit, display, broadcast and distribute these images in any media now known or later developed for promoting, publicizing or explaining Madame G and its services. Photographs and video images are the property of madame g .
*
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YES
NO
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9
The total cost of the workshop is $1460. You understand that the registration fee is $120 non refundable deposit to be subtracted from the total amount. Your account must be updated before May 1st to confirm your participation.
*
This field is required.
Le coût total de l'atelier est de 1460 $. Vous comprenez que les frais d'inscription de 120 $ seront soustraits du montant total. Votre compte doit être mis à jour avant le 1er mai pour confirmer votre participation.
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NO
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10
You will receive a commitment contract to sign, with your schedule, and your supply list. The deposit can be made in cash, credit card debit, on site.
*
This field is required.
Vous recevrez un contrat d'engagement à signer, avec votre planning, et votre liste de fournitures. Le dépôt peut être effectué en espèces, par carte de crédit ou par débit, sur place.
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NO
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11
Do you have any questions? Would you like someone to get in touch with you about our workshop?
YES
NO
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12
Signature
*
This field is required.
Écrit ton nom ou Signe
Clear
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