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52 ter, rue des vinaigriers 75010 Paris
Tél. 01 53 05 93 43 – Fax 01 53 05 93 42
Email : [email protected]
N° d’agrément 11753660875, délivré par la Direction Régionale du Travail, de l’Emploi et de la Formation Professionnelle d’Ile de France
REGISTRATION FORM
TRAINEE DETAILS: PLEASE JOIN A RESUME
NAME (MR, MS, MISS) : ................................................................................... FIRST NAME : ........................................................................................
DATE & PLACE OF BIRTH : .................................................................................. NATIONALITY : .......................................................................................
ADDRESS : .................................................................................................................................................................. ZIP CODE : ..............................
CITY : ......................................................................................................... COUNTRY: .............................................................................................
EMAIL : ........................................................................................................ @ .......................................................................................................
TEL. : .......................................................................................................... MOBILE : ..............................................................................................
LAST CERTIFICATE: .......................................................................................... OCCUPATION : ........................................................................................
HOW DID YOU KNOW THE ACADEMY : ................................................................................................................................................................................
ADDRESS DURING THE TRAINING : ....................................................................................................................................................................................
ZIP CODE : ................................................... CITY : ...................................................................................... TEL. : ....................................................
TICK
DESCRIPTION
LENGTH
FEES
BEAUTY - FASHION
BEAUTY – FASHION Part1
30H (1Week)
1.500 €
BEAUTY – FASHION Part2
30H (1Week)
1.500 €
120H (1 Month)
3.900 €
18H (3 jours)
1.100 €
ARTISTIC MAKE UP: « FACE PAINTING » Part 1
30H (1 Week)
1.800 €
ARTISTIC MAKE UP : « BODY PAINTING » Part 2
30H (1 Week)
1.800 €
30H spread on 5
different Mondays
30H (1 Week)
30H (1 Week)
18H (3 days)
18H (3 days)
1.500 €
BEAUTY – FASHION
MOVIE-TV
AIR BRUSH MAKE UP
ARTISTIC MAKE UP
SPECIFIC PROGRAMS
SPECIAL HAIRDRESSER
SPECIAL BEAUTICIANS
ORIENTAL MAKE UP
BLACK BEAUTY
CONTOURING
1.500 €
1.500 €
900 €
900 €
DATE CHOSEN: FROM .................................................................................. TO ..................................................................................
PAYMENT CONDITIONS:
 DEPOSIT: ................... *  VISA  BANK TRANSFER  CASH
* FOR THE COURSES UNDER 120 HOURS, THE DEPOSIT MUST BE MADE ONE WEEK BEFORE AT THE LATEST AND CANNOT BE REIMBURSED. THE REMAINING MUST BE PAID THE FIRST DAY IN
THE MORNING BEFORE THE TRAINING.
PAYING OFFICE : CORPORATE NAME : ............................................................................................................................................................................
ADDRESS : ................................................................................................ ZIP CODE : ................ CITY : ....................................................................
TELEPHONE : ...................................................... FAX : .........................................................
FINANCIAL COMMITMENT (PERSON IN CHARGE OF THE PAYMENT IF DIFFERENT FROM THE TRAINEE):
I, THE UNDERSIGNED FIRST NAME : ................................................................................... LAST NAME : ............................................................................
ADDRESS : ................................................................................................................................................................................................................
ZIP CODE : ....................... CITY : ........................................................................................................... TEL. : ........................................................
EMPLOYER NAME & ADDRESS : ........................................................................................................................................................................................
............................................................................................................................................................ TEL. : .......................................................
ACTING AS :
PARENT
EMPLOYER
OTHER
I HEREBY ACKNOWLEDGE THE REGISTRATION FORM OF THE ABOVE MENTIONED STUDENT AND AGREE TO PAY THE TOTAL AMOUNT OF THE TRAINING FEES.
IN : ............................................................................................................... THE : .................................................
Training Centre (stamp)
Trainee Signature
MAKE UP FOR EVER
Société Anonyme au capital de 1.050.000 Euros
Siège social 5 rue La Boétie - 75008 Paris
RCS Paris B 318 309 267 - APE 4775Z - TVA FR 61 318 309 267
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