Honolulu Application and Payment Form 2025

Name preference for certificate*

First NameLast Name

Email*

example@example.com

Text Cell#*

Area CodePhone Number

E-mail

Text cell #

Area CodePhone Number

Form of 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 trainingI will pay cash in full to qualify for $100.00 savings. Not valid with any other promotions. Select Cash Invoice request below.

How did you find us?*

I understand I am attending this training to earn my certification and am clear this not a licensing program.

yes

I understand in the state of hawaii I need to be a current licenced esthetician, cosmetologist or barber to offer eyelash extension services as a business to the public.*

yes

I understand I need to be a licensed esthetician, cosmetologist, barber or current student of either to take the lash lift & tint training*

yes

I will not share any EEHA training material. I will honor and respect EEHA & my trainer Karen-Marie request.*

Yes

I am a licensed *

CosmetologistEstheticianEsthetician, Cosmetologist or Barber StudentI am planning to achieve my Esthetician, Cosmetologist or Barber License which is required to offer lash extensions as a businessI am a current Esthetician, Cosmetologist Barber StudentThis if for personal information to decide if lash extensions are what I would like to offer as a business.

I understand I need to have good eyesight, steady hands and patience

YesI have readers or eyeglasses

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 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 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 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 training workshops are non-refundable. Absolutely no refunds for any reason. Options: Training dates may be rearranged, take the online training or may be transferred to another person with trainers approval.*

yes

Please list if not above:

Signature: I understand and honor the information above*

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

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.

Training

Group Bundle 101 and 102$975.00

3-day training. Must be paid in full 2 weeks before the 1st day of training. 101 2-days. Day 1 theory only. Day 2 model required. 102 1-day Day 3 Let's get creative! Creating Volume Fan, Spikes & Wispys

Private Bundle 101 and 102$1,200.00

3-day training. Must be paid in full 2 weeks before the 1st day of training. 101 2-days. Day 1 theory only. Day 2 model required. 102 1-day Day 3 Let's get creative! Creating Volume Fan, Spikes & Wisps

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.

Mentorship Advanced Additional hour $100.00

Must complete Module 1 & 2. Personalized private additional training $100.00 per additional hour. Model required. Work one on one with your trainer.

Bundle In Person Lash Lift & Tint Private$685.00

Bundle In Person Lash Lift & Tint Private Includes Lash Lift/Tint includes starter kit.

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.

Cash Invoice request$1.00

Invoice request $1.00. An invoice will emailed reflecting total due less this prepayment of $1.00

Subtotal $0.00Tax $0.00Total $0.00

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Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

EYELASH EXTENSIONS HAWAII ACADEMY CERTIFIED TRAINING APPLICATION