EDMONTON MODEL REGISTRATION

EDMONTON MODEL REGISTRATION FORM

First name

Last name

Phone

Select the City for your Treatment

Calgary, The MM Clinic

Edmonton, Beauty Lab

When was the last time you had a medical aesthetic treatment? What treatment was it?

List preferred Scheduling Days & Times, or days you are NOT available

Upload FRONT-face photo, no make-up

Upload your file

Choose a file or drag and drop one here.

Upload SIDE-face photo, no make-up

Upload your file

Choose a file or drag and drop one here.

Consent * I have read all terms and conditions outlined on The Model Program. I fully consent to receiving elective treatments in the training sessions and provide full payment on day of service.

Consent * I have read and agree to the terms and conditions outlined on in the DEPOSIT & CANCELLATION POLICY .

Date and time

Month

Day

Year

Time

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

EDMONTON MODEL REGISTRATION FORM

Select the City for your Treatment

Calgary, The MM Clinic

Edmonton, Beauty Lab

When was the last time you had a medical aesthetic treatment? What treatment was it?

List preferred Scheduling Days & Times, or days you are NOT available

Upload FRONT-face photo, no make-up

Upload your file

Choose a file or drag and drop one here.

Upload SIDE-face photo, no make-up

Upload your file

Choose a file or drag and drop one here.

Consent * I have read all terms and conditions outlined on The Model Program. I fully consent to receiving elective treatments in the training sessions and provide full payment on day of service.

Consent * I have read and agree to the terms and conditions outlined on in the DEPOSIT & CANCELLATION POLICY .

Date and time

Month

Day

Year

Time

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.