AESTHETIC LOUNGE MASTER CLASS REGISTRATION INFORMATION Name * First Name Last Name Email * Phone (###) ### #### WHICH DATE WOULD YOU LIKE TO ATTEND * JANUARY 12, 2024 FEBRUARY 9, 2024 Academic Background (RPN, RN, NP, MD) : * RPN RN NP MD Are you working full-time or part-time in aesthetics ? FULL-TIME PART-TIME How many years have you been practicing aesthetic medicine ? Where did you complete your Aesthetics Training? * Year of Completion Message (Optional) Thank you!
