Registration Form 2020

Name preference for certificate *

First Name Last Name

E-mail *

Text cell # *

Area Code Phone Number

Cell carrier *

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 savings Charge/Debit Below Non-refundable $300.00 prepayment today and installments to be arranged via automatic withdrawal with my debit/charge card balance due 2 weeks prior to training 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

Please check

I understand and my schedule allows me to complete a tasks list 1 day prior to training date. Link and password will be sent once my payment in full has been received 2 weeks prior to training date I will review and complete checklist I will complete and text an image of certificate of achievement which I will down once openbook quiz has been completed I will complete mannequin and lash tile set up I understand the above is not completed training will need to be rescheduled.

ONLINE TRAINEES:

IN HOUSE TRAINEES:

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 no

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 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: *

Classic & Volume Fan & Lash Mapping Module 1 & 2 In House Private September - October Savings $ 1,575.00

$1575.00

Classic & Volume Fan & Lash Mapping Module 1 & 2 In House Share with your friend September - October Savings $ 1,275.00

$1275.00 EACH

Live Online Private Module 1 & 2 September - October $ 795.00

Live Online Share Module 1 & 2 September - October $795. each $ 695.00

Classic In House Private $ 1,275.00

Volume Fan & Lash Mapping In House Private $ 675.00

Live Online Private training Module 1 $ 650.00

Classic Lash Extensions Private Manniquinn no model

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

Volume Fan Development Hybrid & Wispy Lash Designing Includes Volume Tweezer Tray of mixed volume lashes No model

Non-refundable $300.00 prepayment $ 300.00

Non-refundable $300. prepayment installments to be arranged, balance due 2 weeks prior to training date.

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

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