Lash Empire Accelerator Application Form

1
What’s your current experience level with lash artistry?* This field is required.
Please Select
Please Select
I’m brand new to lashes.
I’ve started practicing but haven’t taken clients yet.
I’ve been lashing for less than a year.
I’ve been lashing for over a year but don't have any clients.
I’ve been lashing for over a year and have paying clients.
2
Why do you want to join the Lash Empire Accelerator?* This field is required.
Example: “I’m ready to turn my passion into profit.” “I want to quit my 9-5 and go full-time in lashes.”
3
What’s your #1 goal with this program?* This field is required.
Example: “To make $1,000 a day.” “To attract high-paying clients consistently.”
4
Are you committed to attending all the live training sessions and taking action?* This field is required.
100% committed—I’ll be there and ready.
I’ll do my best, but I might miss a session
I’m not sure yet.
5
How soon are you ready to start booking paying clients? (Select one)* This field is required.
Please Select
Please Select
Immediately, I'm ready now!
Within the next 30 days.
I need help building my confidence first.
6
Are you ready to invest $2,000+ in building your lash empire? (Select one)* This field is required.
Yes, I’m ready now.
Yes, but I'd prefer a payment plan.
Not sure—I’d like to learn more.
No, I'm not ready to invest right now.
7
Which payment method would you prefer for your investment?* This field is required.Prefer to work directly with us? Choose our Rich Lash University Installment Plan for flexible payments throughout your program. No third-party approvals are needed, just a simple agreement between us and you.
Pay in Full ($2,000) Best value with one up-front payment.
Buy Now, Pay Later (ShopPay, Affirm, Sezzle) Flexible payments through trusted third-party services.
Rich Lash University Installment Plan (Minimum 25% Down Payment due upfront to secure your spot). No credit checks, approval is fast and stress-free.
Other
8
Are you interested in joining the optional in-person training experience in Atlanta on January 11th to take the skills you learn during the Accelerator to the next level?* This field is required.
Please Select
Please Select
Yes, absolutely!
Maybe, I’d like to learn more about it.
No, I’m only interested in the online program right now.
9
What’s the biggest challenge holding you back right now?Example: "Getting Started," “I don’t know how to market myself.” “I’m struggling with technique.” “I need help with pricing.”
10
What's your name? :* This field is required.
First Name
Last Name
11
Instagram Handle
Put your @username
12
E-mail Address:* This field is required.Make sure it's correct. This is how we commin
13
Phone NumberMust be input in this exact format (+15557779999)
Optional but encouraged, for exclusive updates.
14
What's your Zip Code?Helps ensure we send you messages at the right time.
Street Address
Street Address Line 2
City
State / Province
Optional but encourgaed, for tailored offers.
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
15
Commitment Agreement * This field is required.
I understand that the Lash Empire Accelerator is an investment in my skills and future. I’m ready to commit to this program and take action to build my lash empire!
16
17
Do you hold a Professional Medical, Cosmetology, or Esthetician License?* This field is required.
Yes
No
18
Are you aware of your current state lash technician requirements?* This field is required.
Yes
I need more information.
19
Phone Number:
Optional, but encouraged.
20
Instagram Handle* This field is required.Put your @username. This is how Destyni will follow up with next steps. If you don’t have IG, put N/A.
Street Address Line 2
City
State / Province
Put your @username. This is how Destyni will follow up with next steps. If you don’t have IG, put N/A.
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
21
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