WP Online Category

Please fill in your details for all the fields marked * to enable your registration to be completed.
You do not need to be referred to register for a class.
If you need any help completing your registration please call 0800 865 432.

Contact Details

First Name

Last Name

This will be used to send class details, so please make sure it is the Contact's email address

Mobile Phone

02XXXXXXXXX

Street

City

Postcode

Is this your FIRST time registering for a LGFB Online class?

Registration Details

Date of Birth

dd/mm/yyyy

Ethnicity

Have you experienced hair loss?

What type of cancer are you being treated for?

How did you hear about Look Good Feel Better?

We like to thank the wonderful people who share our services with their patients and customers. If you know the details of this person, please complete below. Not a problem if you don’t know, or were not referred – please leave blank.

Referrer/Health Professional Name

Referrer/Health Professional Email

The following information assists us in providing the best products to suit you in your kit of donated skincare and makeup. Please complete all categories

Are there any products/brands that you should not use for health or medical reasons (including reasons related to your treatment)?

Eyebrow Colour

Hair Colour

Skin Tone

Eye Colour

Preferred Lipstick Shade

Preferred Eyeshadow Shade

As you have already registered for an online class, we have your contact and registration details on file, so you can now submit your registration.

Please be aware that cosmetic, make-up and skincare products are provided and used at Look Good Feel Better classes. Look Good Feel Better is non medical and those wishing to attend a Look Good Feel Better class should consult their oncologist if they have any concerns regarding the products we use. A list of the brands donated is available on our website. The Cosmetic, Toiletry and Fragrance Association of New Zealand (CTFA) and member companies take their responsibility for the safety of cosmetics and toiletries very seriously. Safety substantiation of ingredients, either by manufacturers of raw materials, or by companies marketing products containing them, is based on rigorous scientific safety processes. Legislation requires any cosmetic product placed on the market to be safe under normal circumstances of use. Please read our Privacy Policy for more information on how we use your information.

Thank you for taking the time to provide us with information that will help us ensure you get the most out of your Look Good Feel Better experience.

If you have any questions please call 0800 865 432