Registration Form 2020

CERTIFIED WORKSHOPS

1188 Bishop Street Honolulu, HI 96813 Suite 1101
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 Charge/Debit Below Non-refundable $300.00 prepayment installments to be arranged, 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
I understand I will need to complete 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 worked with Trainers availability, 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 $30.00 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 - Location Honolulu or Kamuela 5- Private or Group 6-Inhouse or Online *
Please list if not above:

Your training:

Classic & Volume Fan & Lash Mapping In House Private July Savings $ 1,575.00

$1575.00

Classic & Volume Fan & Lash Mapping In House Share with your friend June Savings $ 1,275.00

$1275.00 EACH

Classic & Volume Fan & Lash Mapping In House Group $ 1,075.00

$1075.00 EACH

Classic In House Private $ 1,275.00

Volume Fan & Lash Mapping In House Private $ 675.00

Online training Private Module 1 $ 595.00

Classic Lash Extensions Private Manniquinn no model

Online 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

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

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CERTIFIED WORKSHOPS