APPLICATION FORMName(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Professional License NumberSelect Your choice(Required) Online Class In Person ClassI am Applying for Online(Required) Dermaplaning Online Course Microneedling Online Course Chemical Exfoliation Online Course BB Glow Online CourseI am Applying for In Person Class(Required) Dermaplaning Course PMU Master Class Microneedling Training Course Microblading & Powder Brow Medical Aesthetics Course Lip Blush Course Laser Hair Removal Course Eyeliner Training Course Clinical Laser CourseSelect Course date For Dermaplaning In Person Class(Required) October 16th, 2023 November 13th, 2023 December 11th, 2023Select Course date For Microneedling In Person Class(Required) October 17th, 2023 November 14th, 2023 December 12th, 2023Select Course date For PMU Master In Person Class(Required) October 18th-22nd, 2023 November 15th-19th, 2023 December 13th-17th, 2023Select Course date For Medical Aesthetics In Person Class(Required) October 16-21, 2023 November 13-18, 2023 December 11-16, 2023Select Course date For Laser Hair Removal In Person Class(Required) October 18th-19th, 2023 November 15th-16th, 2023 December 13th-14th, 2023Select Course date For Eyeliner In Person Class(Required) October 22nd, 2023 November 19th, 2023 December 17th, 2023Select Course date For Lip Blush In Person Class(Required) October 21st, 2023 November 18th, 2023 December 16th, 2023Select Course date For Microblading & Powder Brow In Person Class(Required) October 18th-20th, 2023 November 15th-17th, 2023 December 13th-15th, 2023Select Course date for Clinical Laser Course In Person Class(Required) October 18-21, 2023 November 15-18, 2023 December 13-16, 2023Dermaplaning Online Course(Required) Price: Pay in fullMicroneedling Online Training Course(Required) Price: Pay in fullChemical Exfoliation Online Course(Required) Price: Pay in fullBB Glow Training Online Course(Required) Price: Pay in fullDermaplaning In Person Course(Required) Price: Pay in fullMicroneedling In Person Training Course(Required) Price: Pay in fullPMU Master In Person Course(Required) Pay In Full: $5,400.00 Deposit: $2,700.00Financing AvailableMicroblading & Powder Brow In Person Course(Required) Pay In Full: $3,600.00 Deposit: $1800.00Financing AvailableMedical Aesthetics In Person Course(Required) Pay In Full: $4,600.00 Deposit: $2,300.00Financing AvailableLip Blush Training In Person Course(Required) Pay In Full: $2,000.00 Deposit: $1,000.00Financing AvailableLaser Hair Removal Training In Person Course(Required) Pay In Full: $2,200.00 Deposit: $1,100.00Financing AvailablePMU Eyeliner In Person Course(Required) Pay In Full: $1,800.00 Deposit: $900.00Financing AvailableClinical Laser Course In Person Course(Required) Pay In Full: $3,600.00 Deposit: $1,800.00Financing AvailableTotal Credit Card/Debit Card(Required)Card Details Cardholder Name
