Course Application Form Interests Lash Extension (Introduction Level) Lash Extension (Intermediate Level) Lash Extension (Advanced) Train the Trainer Product Purchase Product Re-sale Special Skills or Qualifications Terms By checking this box, I affirm that the facts set forth in this form are true and complete. I understand that if I am accepted as a student, any false statements, omissions, or other representations made by me on this form may result in my immediate disqualification. Submit Application Transfer to Account Number: 1001168213 Name: LOWENO LEWIS WILLIAMS Bank: First Caribbean bank