Register for an account Already have an account? Please sign in User Registration Form 2025 PERSONAL INFORMATION Name * First Last Name * Last Your Phone * Your address Your address Your address Your address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal LICENSE & CERTIFICATIONS Business or spa name Type of business Day spa Aesthetic clinic Wellness club Suite Beauty salon OtherOther Business address Business address Business address Business address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Website or social media Years of Experience in Facial Aesthetics PROFESSIONAL INFORMATION Esthetician License Number * State/Country of License Issuance * License Expiration Date * Additional Certifications (Indicate name and year of attainment) * EXPERIENCE & PRODUCT USAGE Have you worked with other professional brands? Yes (please specify) Yes (please specify) No What facial treatments do you offer? (Select all that apply): Deep Facial Cleansing Anti-Aging Treatments Hydration and Nourishment Chemical Peelings Facial Rejuvenation Apparatus-Based Therapy (Radiofrequency, Ultrasound, etc.) OtherOther REQUIRED DOCUMENTATION Upload a copy of your Esthetician License or Official Identification plus Additional Certifications (if applicable) Drop a file here or click to upload Choose File Maximum file size: 52.43MB CREATE YOUR LOGIN DETAILS This is the information you will use to sign in. Upon registering, your account will be reviewed by our team and if approved these credentials will be activated. Email Address * Enter Email Confirm Email Address * Confirm Email Username * Only lower case letters (a-z) and numbers (0-9) are allowed. Password * Enter Password Confirm Password * Confirm Password OTHER QUESTIONS: What language do you preferred? English Spanish Register If you are human, leave this field blank.
