Please enable JavaScript in your browser to complete this form.Name *FirstLastThis name will be on your official Southern Nevada Health District licensing documents. Select your program: *Program 3 Program 4Microblading OnlyStart Date *Enter program 3 pre-approved start date or desired start date for program 4.. If full, students start program 4 the following month on the 1st. For microblading only, enter your approved start date as well. Phone *Kit Shipping Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDouble check your address! Make sure it is correct.Email *EmailConfirm EmailThis email will be used for all communication and your student login. Upload picture of valid ID * Click or drag a file to this area to upload. STUDENT Acknowledgment: The Student under this Agreement has signed up for a class as a Student. By signing this agreement student is stating that they are not currently an instructor of any type of tattooing, and they have no intentions of becoming an instructor or teaching the same or similar techniques in the future. Student also agrees and understands that any misrepresentation under this paragraph shall constitute a material breach of this agreement and the restrictive covenants contained herein, be grounds for immediate dismissal from the School and the Student shall receive no refund of tuition. I have read and understood this paragraph. Training: Each Training program provides a realistic opportunity to obtain instructional and practical training, with class room instruction. A more detailed explanation of the Tattooing Program and related information can be found in the Training Program, a copy of which is attached hereto as Exhibit “Aâ€. Class Schedule: The Class program for which Student has signed up for is to begin on the start date listed above and will be completed in 6 months unless the student is enrolled in the 1 year master program or student has selected programs 4 or 5. Licensing: The Class programs 1 through 4 are all for the licensing by Southern Nevada Health District. With every program. the student may obtain the official SNHD license in 6 months. Program 5 is for out of state students only. Audio and Video: No audio, video, or photography of the class programs or the School’s clients or Students may be made without the express written consent of the School. Dress Code (Apprenticeship Programs Only): Royal blue medical scrubs are required to be worn for clinic hours. Long hair must be pulled up and no long nails or acrylic nails are to be worn. Copyrighted and Trademarked Material: All publications, materials and videos are copyrighted by the School and may not be used, reproduced or disseminated in any manner or “Nevada Permanent Makeup And Microblading Academy†and its representative logo are trademarked slogan and its representative logo without the express written consent of the School. Confidentiality: The Student recognizes and acknowledges that all confidential information of the School constitutes valuable, secret, special and unique asset of the School. The Student acknowledges that it is not practical, and shall not be necessary, neither to mark such information as ‘confidential’ nor transfer it within the School by confidential envelope or communication, in order to preserve the confidential nature of the information. The Student shall not at any time or in any manner, during or after the term of the course, either directly or indirectly, use, divulge, disclose or communicate to any person, firm or corporation in any manner whatsoever any information concerning any matter affecting or relating to the business of the School, including without limiting the generality of the foregoing, any of its customers or any other information concerning the business of the School, its manner of operation, its plans, processes, or other data without regard to whether all of the foregoing matters will be deemed confidential, material, and confidential and gravely affect the effective and successful conduct of the business of the School, and the School’s goodwill, and that any breach of the terms of this paragraph shall be a material breach of this agreement. Non Competitive and Non Solicitation – Restrictive Covenants – a) Legitimate business interests: the School is entitled to protection of its legitimate business interests, and the parties agree that these interests include without limitations: The School’s confidential business and professional information; and the School’s substantial relationships with existing or specific prospective clients and students. The parties further agree that the School has a legitimate business interest in its employees who are an integral part of its business and a valuable resource due to the School’s substantial investment in the training of employees. The parties further agree that the School has a legitimate business interest in the clients’ goodwill associated with the marketing area in the Province of British Columbia. b) Necessity: The parties agree that a restrictive covenant is reasonably necessary to protect these legitimate business interests. c) No solicitation / No acceptance: During the term of this agreement and for a period of two years from the end of a Student’s participation in the programs with the School, the Student agrees to refrain from and not to, directly or indirectly as independent contractor, employee , consultant, agent, partner, joint venture, or otherwise: i) Solicit or counsel any person that the Student knows or reasonably should know is a Student or was a Student of the School within the preceding two year period, to terminate any business relationship with the School and/or commence a similar business relationship with any other individual or business entity; Accept, with or without solicitation, any business from any person, that the Student knows or reasonably should know is a Student or was a Student of the School within the preceding two year period, regardless of such person’s or entity’s location; or ii) Solicited any of the employees, affiliates, or agents of the School regardless of such person’s or entity’s location, to terminate any business relationship with the School. a) Enforcement: Student agrees damages at law will be an insufficient remedy to the School if she violates the terms of these Restrictive Covenants, and that the School would suffer irreparable damages as the result of such violation. Accordingly,,student agrees that the School shall be entitled, upon application to a court of competent jurisdiction, to obtain temporary and permanent injunctive relief to enforce the provisions of this Agreement, which injunctive relief shall be in addition to any other rights or remedies available to School. The period of time during which the Student is restricted from engaging in the business practices described herein shall by any length of time during which the Student is in breach of such restrictions. Construction: These Restrictive Covenants shall be construed in favor of providing reasonable protection to the School's legitimate business interests. The existence of any claim or cause of action that the Student may have against the School shall not constitute a defense to the enforcement of these covenants by School. Furthermore, Student agrees that if any portion of the covenants set forth herein are held to be unreasonable, arbitrary or against public policy, then such portion of the covenants shall be considered divisible as to time, geographic area or condition. If any court of competent jurisdiction determines the specified time period or the specified geographical area to be unreasonable, arbitrary or against public policy, then a lesser time period or geographical area, which is determined to be reasonable, not arbitrary and not against public policy, may be enforced against Student. Student agrees that the foregoing covenants are appropriate and reasonable when considered in light of the nature and extent of the business of the School and the Students enrolment in the School. The waiver by the School of Student's breach of any provisions of the foregoing covenants shall not be construed as a waiver of any other provisions hereof or of any subsequent breach by the Student. Notices: Any and all notices, designations, consents, or any other communication provided for herein, shall be given in writing, by registered or certified mail, return receipt requested, and which shall be addressed to the residence in the case of Student, or to the main office in the case of the School. Nevada State Law: This Agreement shall be construed pursuant to the law of the State Of Nevada. Southern Nevada Heath District requires a 6 month apprenticeship program in order to be licensed. If Student is enrolled in a 6 month apprenticeship program with Nevada Permanent Makeup And Microblading Academy, upon completion of the program and once all payments have been made to the School, a certificate of completion will be issued and a statement to SNHD for licensing of the student. Binding Effect, Continuance, and Assignability: The rights, responsibilities and duties of the signatories to this Agreement and the covenants contained in this Agreement, shall continue to bind the signatories, shall continue in full force and effect until every obligation of the signatories pursuant to this Agreement shall have been fully performed, and shall be binding and enforceable upon the successors and assigns of the signatories. The obligations of the Student under this Agreement, including but not limited to those in the Resident Covenants, may be assigned by School without the authorization or consent of the Student. Paragraph headings: Each paragraph heading contained in this Agreement is used for convenience purposes only and is not intended to define, expound upon or limit the provisions which immediately follow such paragraph headings Costs and Attorney’s Fees: If the obligations of the party(s) expressed in this Agreement are the subject of litigation, the prevailing party(s) in such litigation shall be entitled to recover from the other party(s) who lose to the prevailing party(s) in such litigation all reasonable costs and expenses related to such litigation, including reasonable attorney's fees and cost of appeal. The authority presiding over such litigation shall determine which party, if any, is the prevailing party and which party, if any, is the losing party. Disclaimer: A STUDENT'S ATTENDANCE AND/OR COMPLETION OF THE COURSE DOES NOT GUARANTEE THAT A STUDENT WILL BE ABLE TO PRODUCE THE EXACT SAME RESULTS AS THE FACULTY AND STAFF OF THE SCHOOL OR GUARANTEE THAT THE STUDENT WILL BE ABLE TO EARN A LIVING BY SELLING THEIR SERVICES TO CUSTOMERS. STUDENT ACKNOWLEDGES THAT THIS IS A LEG ALL Y BINDING AGREEMENT AND THAT HE/SHE HAS READ THIS ENROLLMENT AGREEMENT, EXHIBIT A, AND EXHIBIT B, IN THEIR ENTIRETY, THE PROVISIONS OF WHICH HE/SHE ACCEPTS. *I ageeEXIBIT A TRAINING PROGRAM Permanent Makeup Essential Education, Microblading And 6 Month Instructional Apprenticeship. Student kit included. 1 Tattoo/permanent makeup history a) The coil machine/rotary b) Hand methods c) Needles 2 Equipment a) Various types of machines b) Various hand tools c) How to set up your equipment d) How to adjust your equipment e) How to repair your equipment f) Different power sources and operation 3 Sterilization and Barrier Controls a) Cold sterilization b) Dry heat c) Gas d) Autoclave 4 Techniques a) Lining b) Shading c) Color d) Microblading e) Shading f) Line work g) Reading skin types h) Measuring/Design i) Color mixing j) What not to use k) Shelf life l) Needle configuration m) Types of needles n) Tubes, tips and grips STUDENT KIT: Work book Text book Sketch pencils After care Wax pencil Permanent Makeup Machine Power Supply Variety of machine cartridge needles Microblade holder Microblade needles Lip, Eyeliner and Brow Pigments Anesthetic Disposable Measuring Rulers Microbrushes Misc. Consumables Student kits are included in tuition. There is no additional charge for the kits. ***** THE SCHOOL RESERVES THE RIGHT TO MAKE CHANGES IN THE COURSE CONTENT AS IT DEEMS NECESSARY IN ITS SOLE DISCRETION *I agreeEXHIBIT B SCHOOL POLICIES In order to protect both the instructors and Students of the School, the Student agrees to abide by the following policies and procedures. The Student understands and agrees that in the event that a Student fails to abide by the Policies and Procedures, the School may in their sole discretion bar the Student from participation in any future classes of the School. No refund will be paid to a Student who is dismissed from the School for failing to abide by the policies and procedures set forth herein. 1 All Students agree to follow the School's specialized teaching techniques. The School has developed a unique teaching technique which must be precisely followed for a Student to get full benefit of the class lessons. 2 All students are to wear royal blue scrubs when in clinic. 3 There is absolutely no audio or video recording allowed at any time. 4 All Students agree that during their time attending the Academy, that they will not attend any other type of School of Tattooing or receive any other type of similar instruction, because it will have an adverse affect on the School's ability to teach the Student 5 All Students agree to complete all exercise and other work assigned to them by instructors during class. 6 All Students agree to complete all homework, which may include both exercises and reading assignments. There will be any where from 5 to 12 hours of independent practice and lessons each week that the Student will be responsible to complete. 7 TATTOOING OF HUMAN SKIN/LIVE MODELS. The Student agrees and understands that under no circumstance will the Student under any circumstances attempt any type of procedure on human skin until they have received and authorization from the School. Additionally, the School's authorization to proceed to human skin is not a guarantee the Student's procedures will provide desired results. All practice on human models must be in the clinic and under supervision of master instructor. Students will not work out of their houses or charge for services during their program and while they hold an apprentice status with Southern Nevada Health District. 8 A student that is conducting themselves in a manor that is considered gross negligence may be immediately dismissed. Students are working and learning under the license of the Academy and their conduct directly effects the licensure of the Academy. Gross negligence includes but is not limited to being intoxicated or under the influence while on clinic floor, working illegally out of a house while unlicensed and still under their apprenticeship card, intentionally breaking NRS code governing the protection of the public as it pertains to tattoo and permanent makeup. Gross negligence does not apply to a mistake or accidental error on the students behalf. Students are not expected to be perfect and make no mistakes. Only Intentional circumvention of ordinances , codes, laws and regulations that are in place for public protection and specific to permanent cosmetics are what is considered gross negligence and a complete disregard for the well being of the public. 9 IN THE EVENT THE STUDENT BREACHES ANY OF THE SCHOOL"S POLICIES AND PROCEEDURES, THE SCHOOL RESERVES THE RIGHT TO IMMEDIATELY DISMISS THE STUDENT FROM THE SCHOOL AND BAR THE STUDENT FROM ATTENDING ANY FUTURE CLASSES AT THE SCHOOL *I agreeType Name (Digital Signature) *Student Registration Agreement & AcceptanceSubmit Share this:TwitterFacebookMoreWhatsAppEmailLike this:Like Loading...