Student Registration Form
Fill out the form carefully for registration Thank you for your interest in our Body Conscious University! We are so excited to welcome you into the Body Contouring/Spa industry! This is a form to pay the NONREFUNDABLE DEPOSIT on our ALL classes . Group Classes are every third Sunday of the month in Houston Texas and every fourth Sunday in Dallas. 1-on-1 classes can be done for the same price at your convenience in Houston Texas or virtual.
Student Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Phone Number
Courses
*
Please Select
Body Contouring (no equipment)
Body contouring (with equipment)
Additional Comments
Class Options
*
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Body Contouring class Total
Full price course
$
2,500.00
Teeth whitening
Teeth whitening certification
$
599.00
Post Operative Class
$
2,500.00
Credit Card
Body Contouring and the Post Operative class is $2500.00 each.Please check that you understand you are paying the total upfront.
*
I understand, and agree
Please note this deposit is non refundable, however it is transferable to another date if you can’t make arrangements to come to class . Please check that you understand and agree.
*
I understand, and agree
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