Thank You for Paying and Securing Your Place

Now Complete The Below Application Form to complete your booking

Welcome to our application form page for all of the Visage Academy group courses. All courses have a maximum of 8 trainees per course.

Note that on completion of this application form, you will immediately receive an email confirming that we have received your form which will also include details of how to complete your booking. If you don’t see this in your inbox, check your junkmail folder. It will come from the no-reply email address: [email protected]

This course aims to train delegates to a standard higher than the recommendations by the Health Education England.

The course is endorsed by Cosmetic Insure, Cathedral Insurance, Lonsdale, Beazley and is usually accepted by most other medical and dental protection agencies worldwide. If you find an exception to this, please let us know so that we can contact them to discuss ([email protected]).

Please note that only Doctors and Dentists may currently inject Botulinum Toxin in the Republic of Ireland. In the United Kingdom, all those completing our certification are permitted to administer Botulinum Toxin Type A. Dermal Filler can currently be injected by anyone completing our certification, whether in Ireland or the UK.

Got a question about the course or anything related to the aesthetics industry? Ask it here for a quick response:

Application Form

Which date / location?
Profession. If you don't fit into one of the categories below, select other.
Do you have any dietary requirements? Vegetarians and Vegans welcome.
How did you hear about us?

Name a colleague who referred you and you'll both receive an additional 1 month use of Flourish whenever we confirm your space. This is worth £39-199 plus VAT each, depending on the size of your clinics! You may need to remind us- drop us an email once you've booked at [email protected] (optional)
Have you ever contracted any blood-borne pathogens such as hepatitis or HIV?

I am happy to receive updates on future course dates if I don't go ahead with the course I've selected above. If I do go ahead with the course selected above, I'm happy to be added to our email list to receive future industry and advanced training course info, some of which, although aimed at being useful for me as a practitioner, may also contain links to purchase related products.

Do you have a disability that requires special arrangements to be made in order for you to attend this course? (If you answer yes we will contact you to see how we can best accommodate your needs)

Full refund minus £50 administration fee if 21 days notice given. Group bookings provide discounts for each member of the group. If one person cancels their refund will therefore be reduced to offset the discount already given to other group members. Note also that we cannot refund any credit card fees paid by you during the payment. Please also note that if, for any reason, you decide that you would like to move your booking to a later date after making your course payment, this will be considered as a cancellation and re-booking, so the cancellation fee plus any other associated fees may apply.

I confirm that I have received a quote for insurance cover following the completion of the course that I am applying for - either from Cathedral Insurance or another company.
Please click the checkbox below or complete the captcha.

Before you hit "SUBMIT" below, please note:
- if successful, you'll be taken to a 'thankyou' page
- if your submission in NOT successful, lookout for a yellow box below the button, advising you to recheck the form above for fields highlighted in red

If you are having difficulty submitting the form above, here is another option – it won’t give you the automated response for completing the booking, but we can send this to you manually later today or tomorrow –