Forename* Please check spelling for errors. This is how your name will be printed on the certificate.
Surname* Please check spelling for errors. This is how your name will be printed on the certificate.
Address*
Address (Contd.)
Town/City*
Postcode*
Telephone (Home)
Telephone (Mobile)*
Your Email *
Course Name*
Course Date*
Do you have any relevant qualifications or prior practical experience? —Please choose an option—YesNo
Please list them below
Do you have any special requirements? —Please choose an option—YesNo
Please provide details
Do you have any allergies? —Please choose an option—YesNo
Do you have any skin conditions? —Please choose an option—YesNo
Do you have any medical conditions? —Please choose an option—YesNo
Do you have any learning support needs? —Please choose an option—YesNo
Do you consider yourself to have a disability? —Please choose an option—YesNo
I agree to be worked on by other students during this course? —Please choose an option—YesNo. I have made other arrangements, which have been emailed and approved by LAB
Please complete this question if you are completing a lash/brow /tinting/ facials/ skincare course: I confirm that I will carry out a patch test (at my own expense) at least 24-48 hours before attending the course? —Please choose an option—YesNo
PLEASE READ BEFORE SIGNING THIS DECLARATION: I confirm that all the above facts are true. I have read, understood and fully accept the LAB Term and Conditions (T&Cs) and meet all requirements as defined within the T&Cs:
—Please choose an option—YesNo
Where did you hear about LAB?
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