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 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 1 week for live training 2 weeks prior to online raining 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

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

Please list if not above:

Your training:

Online Training - Lash Lift/Tint April 4 BETA Testing $275.00 $ 275.00

Normally $575.00 Includes training supplies Must be a licensed Esthetician Cosmetologist or current student of either to attend

Online training April 11 Module 1 $ 495.00

Classic Lash Extensions Manniquinn no model

Online Training April 18 Module 2 $ 295.00

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

My training Details 1-Modules dates 2-Time 3 - location 3- Private or Group *

CERTIFIED WORKSHOPS