Registration Form 2019

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 via invoice prefer: *

Cash - I will set up an appointment to in pay full - cash in person prior to the deadline listed and qualify for savings Pay in full and qualify for promotions and savings by the deadline listed $300.00 Non refundable pre payment to hold my seat and training kit. Balance divided into 6 - 8 Installment payments every 2 weeks till paid in full. Certificates will be held and mailed out, once paid in full.

Date/dates and time/times of training *

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

yes no

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 This is for personal information

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

yes no

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

yes no

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

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please list if not above:

Your training:

Non Refundable prepayment to secure training. $ 300.00

October & November Private Modules 1, 2 $1275.00 Honolulu only $ 1,275.00

October & November Private Modules 1 & 2 share with a friend $1075 each. Honolulu only $ 1,075.00

November 9 Group Module 1 & 2 Honolulu $ 975.00

November 16 & 17 Kamuela Group Eyelash Extensions Module 1 $ 975.00

Private Eyelash Extension Module 1 $ 1,175.00

Private Eyelash Extension Module 2 $ 750.00

Private Eyelash Extension Refresh Module 3 $ 550.00

Private Additional Hour $ 100.00

Group Eyelash Extensions Module 1 $ 975.00

Group - Eyelash Extensions Module 2 $ 450.00

Group - Eyelash Extensions Module 3 $ 450.00

Keratin Lash Lift and Tint Group $ 675.00

Keratin Lash Lift and Lash/Brow Tint Group $ 850.00

Keratin Lash Lift and Tint Private $ 795.00

Keratin Lash LIft and Lash/Brow Tint - Private $ 950.00

Private Makeup Artist 101 $ 1,975.00

Private Makeup Artist 101 Share with your friend $1775. per $ 1,775.00

Private Makeup Artist 102 $ 1,500.00

Private Makeup Artist 102 Share with your friend $1300. per $ 1,300.00

Group Makeup Artist 101 $ 1,575.00

Group Makeup Artist 102 $ 1,100.00

Personal Makeup Lesson Just Eyes $ 425.00

Personal Makeup Lessons Enhance Your Fabulous Face - Private $ 675.00

Personal Makeup Lessons Enhance Your Fabulous Face - Share with your friend $575.00 Each $ 575.00

Estheician Refreshers Training for licensed Estheticians and Cosmetologist 6 hours personal one on one session $ 950.00

Cosmetologist seeking to offer a deluxe facial A 18 hour Certified Program six 3- hour sessions $ 2,450.00

Brow wax and and shaping workshop (must be licensed) 2 hour private session. Must provide own models $ 525.00

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

CERTIFIED WORKSHOPS