Student Enrollment Agreement

Deena Williams d.b.a.
The Center for Permanent Makeup Training©

Student Enrollment Agreement

Date *

First Name *

Last Name *

Address *

Phone Number(s)

Work

Home

Cell

Fax

End Section

Email Address

Emergency Contact Number *

Emergency Contact Name *

Are you over 18? *

Yes

No

Current Occupation? *

Please read and check box to confirm *

It is the responsibility of the student to research all state and local regulations applicable to permanent cosmetics in their locality and to determine if any applicable profession regulations are in conflict with performing permanent cosmetic services at the location where the business is established.

A non-refundable deposit as designated per class type selected (Group, Private, Advanced, Paramedical) is required to reserve your place in the agreed upon class date for your training. These funds are required to be submitted with your enrollment form. The balance of the class fee is due one week prior to the schedules class date. *

Group

Private

Advanced

Paramedical

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Once the required applicable deposit and completed student enrollment form is received for a fundamental class, pre-class training materials will be mailed, emailed and/or presented in person.

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It is understood that if I have any special needs required to complete the on-site portion of the class, I must notify Deena Williams of these needs no later than one month in advance of the schedules first day of class. Example: latex allergy specific glove size, readers required, diabetic, etc.

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It is the each student’s responsibility to arrange to attend an OSHA Blood borne Pathogens Standards class before (recommended by Deena Williams to complete prior to class or shortly after) or as required by law in your locality. You can contact your local Health Department to find a location and class time. An Internet online class is now available at http://www.eduwhere.com

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I understand that during the class, the procedures I will be conducting are invasive. It is my responsibility to acquire the Hepatitis B series of immunizations, or if I have not acquired or completed the immunization series prior to the first day of class, I agree to decline the Hepatitis B inoculation process in writing and provide that to Deena Williams. In either case, I hold Deena Williams and or her associates, and the Center for Permanent Makeup Training Center harmless for any accidental exposure to bloodborne pathogens, including needle sticks, during the on-site class session or after completion.

Students are required to arrange for a minimum of two models for each procedure performed to bring to the class for the hands on work, at the times selected for the models schedule. Please do not ask to change the model schedule. *

Check box to confirm if you are local

Check here if you are not local to the area you will be trained.

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I understand that the textbooks/manuals and all other teaching materials are not to be reproduced or otherwise provided to another person under any condition.

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The fees associated with this class do not include supplies. All supplies needed to do permanent makeup post class are sold separately. Kits range from $750.00 to $1,669.00.

Do you have any visual or physical impairment that will make it difficult to learn a detailed craft like permanent cosmetics? *

Yes

No

If yes, please list in detail about your visual or physical impairment. *

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It is understood that students must arrive to class on time every day and not leave early unless prior written request is given to Deena Williams.

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You agree to follow all instruction provided through pre-class directions and during class and agrees to work cohesively with fellow classmates and trainers or assistance.

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If at any time before, during or after class Deena Williams feels that any student(s) is using any type of drugs or alcohol, Deena Williams has the right to discontinue class immediately and/or revoke student(s) certification with no refund, of any kind, to be returned to Student and/or to any other individual that has paid money regarding class and supplies.

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It is understood that each student must finish all hours of training including pre-class and evening homework study assignments and perform satisfactory hands-on procedures approved by Deena Williams in order to receive a Certificate of Completion for class attendance. Deena William has no obligation to issue a Certificate of Completion if the student does not complete pre-class and in-class study assignments or in the event one or more of the procedures taught are not performed to Deena Williams’s satisfaction during hands-on sessions of the class. Deena Williams may issue a Certificate of Completion, reflecting only the procedure type(s) performed to Deena William satisfaction if the pre-class and in-class study assignments, as required, are completed.

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Students are required to bring a camera they are familiar with. One appropriate for taking close-up photographs. It is the responsibility of the student to take his/her photographs of the models prior to and after the work performed in class. This represents the beginning of a practical portfolio for marketing and consultation purposes. Students must also have their fingernails trimmed short prior to class.

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It is understood there is no guarantee of success in the permanent cosmetic industry, and that Deena Williams does not offer job placement services.

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It is each student’s responsibility, after the fundamental class, to seek continuing education and advanced training as needed to perform safe and esthetically accepted procedures. Deena Williams can provide advance classes.

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Deena Williams provides post class support regarding technical questions that cannot be answered in the manuals, provided during class via email (deena@agelessbeautymakeup.com) or by phone/text 907-982-1083 – Deena. During regular business hours. Additional on-site time requires an associated fee.

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It is the responsibility of each student to obtain any permits, licensing or certification post all classes. This includes insurance. Every state will vary.

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Students can request a break when needed.

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If a dispute should arise, I agree to resolve this through arbitration with the American Arbitration Association.

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All future SofTap supply orders will be placed thru Deena Williams. If not, Deena Williams will no longer provide technical support. (Not applicable for Canadian residents)

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I release the use of all photos including those of myself taken in class to be used for any purpose that Deena Williams sees fit to use them for.

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I have read and understood all aspects of the Student Enrollment Agreement and had the opportunity to have all my questions regarding class answered prior to signing this agreement and enrolling in a fundamental and/or other specified class offered by Deena Williams.

Student Enrollment Agreement
Basic Permanent Makeup Course:

Starting Attendance Date *

Ending Attendance Date *

Typing your name here acknowledges that you agree to this contract *

Type your full name here

Date Acknowledged *

Today's Date