Jeunesse Vampire Academy Enrolment Form

To register for our upcoming workshop, please complete the form

—Please choose an option—DoctorNurse

Please list your nursing council or medical council number*

How many years injecting experience do you have?*

Training course you would like to attend*
Day One only (Saturday 29 July 2023) - O-Shot, P-ShotDay Two only (Sunday 30 July 2023) - Vampire Facial, Vampire Breast Lift, Vampire Facelift, Vampire Hair RestorationBoth days (29 + 30 July 2023)

Total Amount:$2995$4995

Would you like to be a training model?*
YesNo

If YES, what treatments would you be interested in?
O-ShotP-ShotBreast LiftVampire FacialVampire hair restorationVampire facelift

Academy Terms & Conditions

Payment in full is necessary to secure your spot in the workshop. Our classes are small, accommodating a maximum of 4 participants per day. Therefore, enrollment in the training course is granted on a first-come, first-served basis for those who have made their payment.
If you wish to cancel your participation in the workshop, we kindly ask for a minimum of 10 days' notice. In such cases, you will be entitled to a complete refund of the training cost or the option to reschedule for another available date.
For cancellations made between 5-10 days before the training date, you are eligible for a refund of 50% of the workshop cost or the opportunity to reschedule for a future workshop on a different date, depending on availability.

I have read and agree to the terms and conditions*