Course Registration Form

Student Name*

First NameMiddle NameLast Name

Date of birth

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student E-mail*

example@example.com

Mobile Number*

Format: (000) 000-0000.

Instagram handle*

Emergency contact*

3 day beginner course (Starter Kit, Light & Bed) - $18993 day beginner course (Starter Kit only) -$1499Anime Masterclass $499Wispy Masterclass $499Elavated Classic/Wispy Masterclass $4993 IN 1 Masterclass $1197 save $300

What is your preferred start date? Please note class days are always from Tuesday-Thursday unless otherwise organise 10:00am - 2:30pm *

Keep in mind - full payment is required 2 weeks before course commencement. Any days arranged outside of usual course days incur a $50 fee.

Have you completed any lash training before? If yes, where did you train? *

Start a business from homeAdd lashes to Existing businessSide hustleOther

Payment information - a non-refundable deposit is required to confirm your enrolment & space. The remaining amount must be paid 2 weeks prior to your course commencement date. Please enter the date the deposit can be expected *

What is your preferred payment option for the remaining amount? *

AFTERPAY | ZIP | CREDIT/DEBIT CARD | CASH | PAYMENT INSTALMENTS DIRECT DEBIT - FULL PAYMENT IS REQUIRED 2 WEEKS BEFORE COURSE COMMENCEMENT)

Would you like to set up a weekly or fortnightly payment arrangement? *

(IF YOU CHOSE INSTALMENT PLAN VIA BANK TRANSFER)

When would you like to start payments & what days do you plan to set it up on? *

(IF YOU CHOSE INSTALMENT PLAN VIA BANK TRANSFER)

What amount are you comfortable with each period? *

(IF YOU CHOSE INSTALMENT PLAN VIA BANK TRANSFER)

YesNo

If yes - please specify *

YesNo

If yes - please specify *

Social Media (Instagram, Facebook)Word of mouthWebsiteOther

If other or word of mouth please specify *

I have read & agree to the terms & conditionsI give permission for photos/videos of my work & during the course to be used for marketing purposes on social media.I understand there are no refunds if you have a change of mind or cannot make your course dates. (Unless educator is at fault)I understand that full payment is required 2 weeks prior to course commencement date & if in the case it is not confirmed, my course dates can be changed or cancelled.I understand that the initial $500 deposit cannot be refunded unless educator is at fault.

Strive to be the best lash artist I can be, continually improving my skills & knowledge.Represent both T&M Beauty Empire & myself as a business owner & lash artist with integrity & professionalism.Uphold the reputation of T&M Beauty Empire by delivering quality services, bedside manner & maintaining high standards in my work.By signing below I acknowledge & accept this responsibility as I embark on my journey as a soon to be certified lash artist.Bank Details: Tandmbeautyempire BSB: 013711ACCOUNT: 175602898

Signature

T&M BEAUTY EMPIRE