Training Request Form
Thank you for your interest in taking a training with us. Before we can get started we will need to gather some information on you so we can better assist you. Please fill out this enrollment form to the best of your ability and we will be in touch with in 24-48 hours to schedule a call and get you on your way to your new career. Please note this short intake form is just to get to know you a little better and what you would like to accomplish with your new found craft. There are no right or wrong answers. Looking forward to speaking you real soon!
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth?
*
/
Month
/
Day
Year
Which training are you interest in?
*
Please Select
Classic Lash Extension
Lash Lift and Tint
Teeth Whitening
Dermaplaning
Microneedling
Refresher -Basic Facial
Refresher - Classic Lash Extension
Why would you like to take this course?
*
Which type of training are you interested in?
Private (one on one)
Group (about 4-5 students)
Are you a licensed Esthetician, Cosmetologist, or Nurse?
Yes
Not yet
Currently in school
Do you have any prior experience in the training you've selected?
Yes
No
Are you ready to kick off your new found craft immediately?
*
Yes, right away
Not sure yet
Desired training date? PLEASE NOTE: we currently only do private trainings on Tuesdays or Thursdays and groups on Sundays
*
-
Month
-
Day
Year
Date
Select back up date in case first option isn't available
*
-
Month
-
Day
Year
Date
Do you have a language Preference for the training?
English
Spanish
Don't have a preference
What are you looking to achieve with this training? Be as detailed as you like.
Signature
*
Submit
Submit
Should be Empty: