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Full Legal Name (as it appears on your professional license) *

Email *

Phone *

Are you licensed to practice in Canada?

Yes

No, but I am an IMG / International Nurse / Assistant

By checking this box, I consent to receive non-marketing text messages from CAMA about course updates and portal notifications. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from CAMA at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

What is your professional designation? *

Province of Licensure *

Regulatory College / License Number *

What is your special registration pathway?

Home Country License Number / Status Details

Professional Declaration Waiver

I hereby certify that all information, professional designations, pathways, and licensing/status records supplied during this checkout process are entirely true and accurate. I explicitly acknowledge that CAM Aesthetics courses are restricted professional tracks. I understand and agree that if I have misrepresented my credentials, provided false numbers, or fail to satisfy the necessary regulatory licensing or medical delegation prerequisites required to legally execute these procedures in Canada, my enrollment will be immediately and permanently revoked. I explicitly waive any rights to financial recourse and agree that under such cancellation circumstances, I will not be eligible for a refund, store credit, partial reimbursement, or course transfer.

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