Model Registration Form

Model Registration Form

Fill out the form carefully for registration
Model Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Beauty Course / Treatment
Nail Course / Treatment
Advanced Course / Treatments
Dermal Filler Course / Treatments
Toxin Injection Course / Treatments
Do you give consent to receive the treatments you have selected? *
By selecting "yes" to this answer, you are giving consent and showing understanding and willing to have treatments performed on yourself by a student (and therefore not a fully qualified and insured individual). This also means you forego the right to make any claim against Blush Beauty Academy Ltd or its students in the case you are not happy with a treatment for whatever reason or should a treatment not go as planned. Be assured all treatments will only be undertaken after the learners have studied their subject and are at the stage to perform the service. This will also be in the presence of a qualified tutor who will be on hand to oversee the treatments.
Are you over the legal age to receive the treatment in question? *
Acrylic Nails / Gel Polish (14+), Tinting / Waxing or generic beauty services (16+), Advanced / Aesthetic treatments (18+)
Should be Empty: