Honolulu Registration Form 2021

EYELASH EXTENSIONS HAWAII ACADEMY CERTIFIED TRAINING

1188 Bishop Street Honolulu, HI 96813 Suite 1101 We at Eyelash Extensions Hawaii Academy Train with the highest of standards and is not for everyone. We accept only the serious. We take Covid Precautions seriously our intention is to keep you safe.
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. Charge/Debit Below Non refundable prepayment $300.00 to hold my seat balance to paid with via installment of equal amounts every 2 weeks to be paid in full 2 weeks prior to 1st of training.
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 *
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 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 is paid in full. I have printer to print hard copies required for training. Also wi-fi and a computer (phone or ipad is not acceptable) and a quite space with no distractions for my zoom online training *

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 Private $ 895.00

EACH Select your date 11:00 am start times Tuesdays thru Saturdays June - August 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 $700.00 each $ 1,400.00

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

In Person Private Bundle promotion Module 1 & 2 $ 1,200.00

IN PERSON PRIVATE Select your date 11:00 am start times Tuesdays thru Saturdays June - August

In Person Share Bundle Module 1 & 2 Share with your friend $875 .00 Each $ 1,750.00

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

In Person Group Bundle Module 1 & 2 $ 975.00

Classic and Volume Fan Development & Lash Mapping Includes 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

Prepayment to hold my seat $ 300.00

Non refundable prepayment $300.00 to hold my seat (kit not included till balance paid in full.) Balance paid with via installment of equal amounts every 2 weeks to be paid in full 2 weeks prior to 1st of training.

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 *
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EYELASH EXTENSIONS HAWAII ACADEMY CERTIFIED TRAINING