Thank You - Selfie Beauty Lounge & Academy

Name*
First Last
Phone Number*
Email*
Which class are you interested in being a model for?*
- Microblading
- Eyelash Extensions
- Plasma Fiberblast
- BB Glow and Microneedling
Do you suffer from any current medical conditions?*
Please specify:
What city?
Are you currently pregnant or breastfeeding?*
Have you had Botox and/or any other facial injections within 3 weeks of your class date?*
Do you have old microblading/tattooing?*
Enter the class date that you wish to be consider as a model for.
MM
DD
YYYY
Is there anything else we need to know?
Upload your makeup-free headshot (front)*
Upload your makeup-free headshot (left)
Upload your makeup-free headshot (right)
Email
This field is for validation purposes and should be left unchanged.

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