Waitlist Signup - Laserbody MD

WE WANT YOU!

Interested in modelling for dermal fillers? Let’s get you signed up!

May 12th, 2022 we are hosting models interested in having the mid and/or lower face injected. We are scheduling for 10:00am – 7:00pm.

Name

Telephone Number

What is the best way to contact you?

Have you had cosmetic injections in the past?

If yes, tell us about it!

Are you allergic to bee stings?

Please list the areas you are interested in treating

Availability

Please upload front and side view photos of your face. These are only used to assess your candidacy.

Message

All candidates must be open to injector’s recommendation for areas to inject

DISCLAIMER
By submitting this form you acknowledge the following:
⇓

All sessions are typically performed during the hours of
nine to five p.m. Monday through Friday.

I am responsible to commit to a second date or follow up two weeks later.

Laserbody MD is not responsible for any loss, damages, or dissatisfaction

as I am aware that I am attending for the purpose of training and practice.