Course Registration Form

Beginner's Classic Eyelash Extension Enrollment Form

Please read and fill out the form carefully for registration.
Please note that a deposit of $500TTD is required to secure your spot.

Deposit info will be provided.
Student Full Name*

First NameMiddle NameLast Name
Birth Date

DayMonthYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address*
example@example.com
Phone Number*
if applicable, please enter a WhatsApp enabled contact . Format: (000) 000-0000.
Mobile Number #2
(if different from whatsapp number)Format: (000) 000-0000.
Emergency Contact:
no name required, just a numberFormat: (000) 000-0000.
Company
Do you have any previous beauty experience?*

YesNo
Requested Date - please select a date (at least 1 week in advance) that you're looking at to have your course completed.*

DayMonthYear
You will be contacted upon receipt to confirm whether this date is mutually convenient for both the student and educator.
Additional Comments
Today's Date:

MonthDayYear
Date
Should be Empty:

Beginner's Classic Eyelash Extension Enrollment Form