WORKSHOP Registration Form

1

Student Name* This field is required.On your certification

First Name

Middle Name

Last Name

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Gender

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E-mail* This field is required.

example@example.com

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Phone Number* This field is required.

5

Work Number

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Company

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Interest* This field is required.

Hair Braids

Wig Installation

Micro needling hair growth

Acné Booth Camp

Eyelashes installation

Maquillage permanent des lèvres

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 . * This field is required.

YESNO

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.

YESNO

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.

YESNO

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Do you have any questions? Would you like someone to get in touch with you about our workshop?

YESNO

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Signature* This field is required.Écrit ton nom ou Signe

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