Honolulu Registration Form 2022

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:*

Pay in full via Charge/Debit bottom of pageNon refundable prepayment $300.00 to hold my seat, balance to be paid via installment of equal amounts every 2 weeks to be paid in full 2 weeks prior to 1st day of training

I am paying cash in full to qualify for $200.00 savings not be combined with any other offers. For in person private or share . Listed below is the total amount due, less tax:

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 *

Online Training:*

Yes I have a printer to print "hard copy" of documents required for training. Also wi-fi and a computer (phone or iPad arenot acceptable) and a quite space with no distractions for my zoom online trainingYes My schedule allows me to complete a task list 24 hours prior to training date. I understand training will need to be rescheduled if not completed on time also I may need to wait for a month or so for next available training date.The link and password will be sent few days prior to training and payment has been paid in full.Yes I am a quick learner, self starter and willing to put the time needed and will pre study and understand material and will be prepared for the zoom training. (If not please select and attend the In person private training)Not needed I am taking the In PersonTraining

I understand for in house training my model and self will be masked during the complete training.*

yesNot needed as I am taking the online trainning

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

I'm registering for:*

Online training : I understand I will need to complete the task check list ad turn in all requested tasks 24 hours prior to day 1 of training or training will need to reschedule. Also homework assignments for certification and my personal schedule allows appropriate time.In person

I understand Private Training Dates will need to be worked with Trainers availability, Tuesday - Saturdays 10:00 am start. I am flexible with dates and times.*

Yes

I understand I will need to be responsible to find my own model for in person training*

Yes Im registering for in person trainingNo Im registering for online training

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 Oahu $50.00 OahuPick up at 1188 Bishop Street Location of training

Online trainees only. Please ship my kit to the following address no PO Box:

I understand the refund policy: Refund Policies Class Booking fees and payments. All workshop are non-refundable. Meaning the funds cannot be refunded but maybe transferred to another person with trainers approval.*

yes

My Training requests:

Private online BundlePrivate in person BundleGroup in person BundleShare In person Bundle

Please list if not above:

Your training:*

December Promotion Online Live Module 1 & 2 Bundle - Private$895.00

Classic, Volume Fan Development, Hybrid Lash Mapping Volume, Spiky/Wispy Mega Fan development and advanced lash map designing. Includes your fully-loaded kit. Select training dates between October - December 10:00AM start time.

December Promotion Accelerated Online 1 day training$700.00

Accelerated Module 1 & 2 Accelerated 1 day training online trainingAre you a self starter fast learner? Do you retain a strong initiative, detail orientated positive can do attitude. Are you able to complete tasks in a timely manner?Then this training is for you. You will learn the same material with the same task and homework as the 2 day online training at a quicker pace. Classics, Intro to volume fans, spikes/wisps. Basic lash map, Hybrid lash mapping and advanced lash mapping.Limited promotion. Select your training Date Mondays - Saturdays 10:00 - 2:00 $700.00

December Promotion In Person Bundle Module 1 & 2 Private $1,275.00

Classic, Volume Fan Development, Hybrid Lash Mapping Volume, Spiky/Wispy Mega Fan development and advanced lash map designing. Includes your fully-loaded kit. Select training dates between October - December 20, 10:00AM start time.

December Promotion In Person Bundle Module 1 & 2 Share with your friend 1175.00 each$1,175.00

Classic, Volume Fan Development, Hybrid Lash Mapping Volume, Spiky/Wispy Mega Fan development and advanced lash map designing. Includes your fully-loaded kit. Select training dates between October - December 20, 10:00AM start time.

December Promotion In Person Group Bundle 1&2 $975.00

Training dates November 18 10:00-3:00November 19 10:00 - 4:00 (model required) November 21, 2022 10:00 - 3:00Classic and Volume Fan Development & Hybrid Lash Mapping. Mega Fan development and advanced lash map designing. Includes your fully-loaded kit

December Promotion In Person Group Bundle 1&2 $975.00

Training Dates: December 16 10:00 - 3:00 December 17 10:00 - 4:00 Model required December 18 10:00 - 3:00 Classic and Volume Fan Development & Hybrid Lash Mapping. Mega Fan development and advanced lash map designing. Includes your fully-loaded kit

In Person Brow Lamination Private$775.00

In Person Lash Lift & Tint Private $775.00

Bundle In Person Lash Lift & Tint and Brow Lamination Private $875.00

Bundle In Person Lash Lift & Tint and Brow Lamination Private Includes Lash Lift/TInt and brow Lamination Kits

Partial payment to hold my seat$300.00

Non refundable partial payment $300.00 Deducted from total due less tax) to hold my seat (kit not included till balance paid in full.) Balance to be paid via installments of equal amounts every 2 -3 weeks to be paid in full 2 weeks prior to 1st day of training.

Cash$1.00

Invoice request $1.00. will be refunded at time of cash payment. $200. savings

Mentorship Advanced $500.00

Must complete Module 1 & 2 Earn your EEHAcademy Advanced Lash Technician Certification $500.00 for 6 hours $100.00 per additional hour.Models required.Work one on one with your trainer.

Mentorship Advanced Additional hour $100.00

Must complete Module 1 & 2 Earn your EEHAcademy Advanced Lash Technician Certification $500.00 for first 6 hours . $100.00 per additional hour.Models required.Work one on one with your trainer.

Ala Carte Module 1 In Person Private$875.00

Ala Carte Module In Person 1 Share with friend $775.00

$775.00 each

Ala Carte Module 1 Online Module 1 Private $675.00

Module 1 no hands on model

Ala Carte Module 2 In Person Private$675.00

Must complete module 1

Ala Carte In Person Share with a Friend $475.00

$475.00 each

Ala Carte Module 2 On line Private$475.00

Must complete Module 1

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

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Signature: I understand and honor the information above*

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Signature of 2nd person for train with a friend promotion: I understand and honor the information above

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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*

EYELASH EXTENSIONS HAWAII ACADEMY CERTIFIED TRAINING HONOLULU TRAINING