The Lacquer Lounge Academy

Thank you for choosing to train with The Lacquer Lounge Academy. Please complete the following form carefully to confirm your place and help us tailor your training experience. All information will be kept private and confidential, and will be used only for training purposes.

First name

Last name

Birthday

Day

Month

Year

Phone

Address

Experience

Which courses are you booking?

Beginners Gel Polish

Builder Gel

Combined

Have you had any previous experience in nails or thebeauty industry? (Please include any qualifications or informal experience)

Support information

We want all our students to feel comfortable, supported and able to learn at their own pace. Please let us know if any of the following apply so we can make reasonable adjustments for your training day.

Learning difficulties (e.g. dyslexia, ADHD, concentration difficulties)

Environmental difficulties (e.g. noise sensitivity, anxiety in group settings)

Personal difficulties (e.g. anything you'd like us to be aware of that may affect your learning experience)

Other commitments (e.g. childcare, work schedule, travel consideration)

Health problems or medical conditions (include any allergies or conditions we should be aware of during practical training)

Emergency Contact

Please include full name, contact number, relationship to you.

Payment and agreement

A non refundable 50% deposit is required to secure your place. The remaining balance is due 14 days before your course date. By submitting this form, you agree to:

-attend your booked training day(s)

-abide by our academy's policies (including cancellation and rescheduling terms)

-allow us to contact you regarding your booking and certification

Would you like to be added to our student whatsapp group for updates, tips and support after your course?

Yes, please

No, thank you

Signature

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Date