Model Registration Form
Fill out the form carefully for registration
Model Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Beauty Course / Treatment
Brow Wax and Tint
Brow Lamination
Henna Brows
Classic Lashes
Hybrid Lashes
Russian Volume Lashes
Spray Tan
Nail Course / Treatment
Acrylic Extensions (Tips)
Acrylic Extension (Sculpted)
Gel Polish
Advanced Course / Treatments
Mesotherapy
Microneedling
Dermaplaning
Chemical Peel
Microblading
Lip Blush
Micropigmentation
Dermal Filler Course / Treatments
Lip Fillers 1ml
Russian Lips
Cheek Filler
Chin Filler
Jaw Filler
Bio-Remodelling
Toxin Injection Course / Treatments
1 area
2 areas
3 areas
Lower Face
Migraine Package
Do you give consent to receive the treatments you have selected?
*
Please Select
Yes
No
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?
*
Please Select
Yes
No
Acrylic Nails / Gel Polish (14+), Tinting / Waxing or generic beauty services (16+), Advanced / Aesthetic treatments (18+)
Submit Application
Clear Fields
Should be Empty: