Registration Form 202

Name preference for certificate *

First Name Last Name

Email

example@example.com

Text Cell#

Area Code Phone Number

2nd person for train with a friend promotion Name preference for certificate

First Name Last Name

E-mail *

Text cell # *

Area Code Phone Number

How did you find us? *

I will process my payment: *

Cash - I will set up an appointment to in pay full - cash in person prior to the deadline listed and qualify for additional $200.00 savings towards bundles. Charge/Debit Below Installment plan $300.00 to holds my seat and kit. Balance to be arranged in equal amounts to be paid in full 1 week prior to start date.

I understand I need to be licensed to offer eyelash extension services to the public. *

yes

I understand I need to a licensed Esthetician, cosmetologist or current student of either to take the lash lift & tint training *

yes

I do not intend to and understand I am not allowed to train or share any material I wilL receive for my workshop at EEH. I honor and respect EEH & my trainer Karen-Marie request. *

Yes

I am a licensed *

Cosmetologist Esthetician Esthetician, Cosmetologist or Barber Student I am planning to achieve my license I am a current Esthetician or Cosmetologist Student I am a current Esthetician or Cosmetologist Student This is for personal information

Online Training: My schedule allows me to complete a tasks list no later then 1 day prior to training date. The link and password will be sent once my payment in full has been received. *

yes

I understand I will need to complete tasks and homework assignments for certification and my personal schedule allows appropriate time. *

yes

I understand all workshops will teach me the basics. I know I will need to make the time to practice and make what I've learned my own. I will allow time to perfect my new skill before working on clients. *

yes no

I understand Private Training Dates will need to be worked with Trainers availability, Tuesday - Saturdays 11:00 am start. I am flexible with dates and times. *

Yes

I am signing up for private training. My request is listed above and will await for approval

I know my preference

I understand I will be responsible for parking fees for myself and model and will read and understand all follow up emails regarding workshops. *

yes

Online training only: I request my kit

To be shipped approx Oahu $20.00 Oahu off island $50.00 or less I will be invoiced for exact amount Pick up at 1188 Bishop Street Location of training

Online trainees only. Please ship my to the following address:

I understand the refund policy: Refund Policies Class Booking fees and payments. All workshop are non-refundable and non-transferable. Meaning the funds cannot be refunded or transferred to another person. *

yes no

My training Details 1-Modules, 2-Dates 3-Time 4 - Private 5- Share with friend 6- Group 7-In house or Online *

Please list if not above:

Your training: *

Online bundle Module 1 & 2 $702.00 private with savings $ 1,170.00

EACH Select your date 11:00 am start times Tuesdays thru Saturdays March - April Module 1 1 11:00 - 2:00( Part 1) Module 1 11:00 - 2:00 (Part 2 Model required) Module 2 11:00 - 1:30

Online Bundle Module 1 & 2 Share with your friend with savings $642.00 each $ 2,140.00

Classic and Volume Fan Development & Lash Mapping Includes your fully-loaded kit.

In Person Private Bundle promotion Module 1 & 2 $1170.00 with savings $ 1,950.00

IN PERSON PRIVATE PROMOTION MODULE 1 & 2 BUNDLE $1825.00 ($1277.00 at check out with code)I Select your date 11:00 am start times Tuesdays thru Saturdays March - April

In Person Group Bundle Module 1 & 2 $855.00 with savings $ 1,425.00

Classic and Volume Fan Development & Lash MappingIncludes your fully-loaded kit.

In Person Classic Module 1 - Private $ 1,275.00

Includes your fully-loaded kit.

In Person Volume Fan & Lash Mapping Module 2 - Private $ 675.00

Includes your starter training kit. Must retain classic certification.

In Person Group Module 1 $ 975.00

In Person Module 2 - Group $ 550.00

Online Live Module 1 & 2 Bundle - Private $ 1,045.00

Includes your fully-loaded kit. Classic Lash Extensions Private Manniquinn work no model

Online Live Module 1 - Private $ 1,045.00

Includes your fully-loaded kit. Classic Lash Extensions Private Manniquinn no model

Online Live Module 2 Volume & Lash Designing - Private $ 395.00

Includes your starter kit. Must retain classic certification.

Online Live Module 1 - Group $ 675.00

Online Live Module 2 - Group $ 350.00

Includes your fully-loaded kit. Classic Lash Extensions Private Manniquinn no model

Non-refundable prepayment $ 300.00

Non-refundable $300. prepayment installments to be arranged, balance due 1 week prior to the training date.

Enter coupon

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Signature: I understand and honor the information above

Clear

Signature of 2nd person for train with a friend promotion: I understand and honor the information above

Clear

I am under age and have my mother's consent listed is my Mother's information.
First Name Last Name Date
Cell Number

Signature: I am under age. I have my Mother's consent to partake in training listed. Her signature below acknowledging the registration form has been read and understood.

Clear

Please verify that you are human *

CERTIFIED WORKSHOPS