Application Form

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Application Form 2017-02-24T10:13:44+00:00

This is an application form, not an official registration. Your application will be evaluated and a staff member will contact you shortly to provide you with current rates and dates available according to the school selected. To learn more about our partner schools, click here: http://academiedectro.com/en/partner-schools/

Kindly fill out all fields in this form so that we can properly respond to your request. Thank you.

 

* Indicates required fields

1. General Information

Last Name *

First Name *

Gender *

Date of Birth *

Company

Occupation

2. Your Details

Address *

App .

City *

Province/State *

ZIP Code *

Country *

Phone *

Email *

3. Choice of Training

Where would you like your training?

Vocational Training
ElectrolysisElectrolysis Correspondence course – for students living outside Quebec and Montreal areas onlyPhotoepilationAesthetic ( face and body)CosmetologyMake-up

Specializations
WaxingThermocoagulationOxygenated MicrodermabrasionHands and Feet CarePhotorejuvenation

Private Advanced Trainings
ElectrolysisAestheticMake-upCosmetologyPhotoepilation/PhotorejuvenationOther

4. Additional Information

Where did you hear about the Académie Dectro?
Google (or other search engine on the internet)Social Media (Facebook, twitter, etc.)Yellow-Pages (paper)Newspapers or MagazinesYellow-Pages (Internet)Through a friend, family, acquaintance, etc..Other specify :

Other Information :

I wish to receive promotional information about your services and products.

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