Are you a licensed Aesthetician interested in our mentorship program?
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Yes
No
New Client Application
RoZ Aesthetics
Full Name
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First Name
Last Name
Contact Number
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Format: (000) 000-0000.
Email Address
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example@example.com
Birth Date
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-
Month
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Day
Year
Date
Gender
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Female
Male
How did you hear about RoZ Aesthetics?
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To begin with skincare, which consultation are you looking to receive? (All skin clients must begin with a consultation to get started on home care prior to beginning treatments. Consultations are $100 + the cost of your home care product regimen.)
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Consultation (NON ACNE CLIENTS)
Acne Bootcamp Conultation (ACNE CLIENTS)
Specific skin service(s) you’re interested in receiving/learning about after consultation is complete:
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Acne Bootcamp Treatments
Chemical Peel
Hydrafacial
I'm open to whatever is recommended for my skin
Microchanneling
Dermaplaning
BioRePeel
Other
Are you looking to make skincare treatments a monthly/regular thing?
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Yes! I am ready for a new homecare regimen and monthly treatments.
No, I just want a new homecare routine.
Tell us about your skin/what you're looking to improve or achieve by coming to RoZ Aesthetics. Include any important information of skin history/ if you've been struggling for a while. The more info the better so we can come up with the best plan for you!
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How much are you expecting to invest in your first skincare appointment total (consultation+home care products)? **Keep in mind, the consultation the consultation cost, and a full complete home care regimen begins at around $250.**
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$400-500
$500-600
I am willing to invest whatever it may be to get started on a good regimen and treatment plan.
Preferred Date/Time/Day of week that you’re hoping for (or say no preference if none):
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Our mentorship program consists of a 1 on 1 training virtually or in person with Amber depending on your needs. The mentorship program is a great way for new aestheticians to learn more about starting your business and diving into the industry with a head start. Pricing can vary depending on depth of training or situation. Please describe topics you are interested in learning more about.
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Please email info@rozskin.com for any additional questions/concerns.
Please read carefully + check all:
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RoZ Aesthetics is a results driven practice, I understand that I am required to receive a consultation & begin on a custom home care regimen prior to receiving treatments
I understand that I will be given a custom treatment plan and I am willing to commit to a plan to achieve my goals
I understand that appointments are accepted in waitlist order, and there is no time estimate available as to when my appointment will be accepted (For in-clinic appointments only)
I understand that if I am enrolling in the mentorship program that costs are subject to discussion depending on the topic/training degree.
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