Your Name (required)
Your E-mail (required)
Are you a school? YesNo
Business Name
City and State (required)
Are you looking to become certified or do you need a tattoo removed? * I am looking to become certifiedI need a tattoo removed
Are you currently: (Check all that apply)
Permanent Make Up Artist less than 6 months6 months – 1 year1-2 years3-5 years6-10 years11+ years
Tattoo Artist less than 6 months6 months – 1 year1-2 years3-5 years6-10 years11+ years
Esthetician less than 6 months6 months – 1 year1-2 years3-5 years6-10 years11+ years
Other – Describe less than 6 months6 months – 1 year1-2 years3-5 years6-10 years11+ years
If you are a Permanent Makeup Artist or a Tattoo Artist please answer the following questions:
Who have you received training with, please include dates?
How many treatments do you do a week? 1-56-1011-1920+
What devices do you use? (required) DigitalRotaryCoilUnsure
If you checked more than one, what is your favorite
Please list your owned devices? Please include Brand and where/whom you purchased it from
What Needles do you have experience in using? (check all that apply)
Round 1-35-78-1112+Unsure
Flat 3-45-78+Unsure
Magnum Curved 5-78-1112-2122+Unsure
Magnum 5-78-1112-2122+Unsure
Which needles do you use most often?
Have you received prior Removal Training? (check all applicable – Please list company you trained with and year)
Saline
Laser
Acid
Other
If using a needling device during removal, list the device you use along with needle sizes
Age (required)
Area of Removal
Age of Tattoo
Any laser treatment to area of removal, if so, how many treatments?
