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Class Registration & Waitlist
Please complete this form to request a spot in our Yume Head Spa Essentials Training Class.
First Name
*
Last Name
*
Phone Number
Email
*
Business Name
*
Address
*
Street Address
City
State*
Alabama
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YUME Head Spa Essentials
Availability
*
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Attendee(s)
*
1 Person
2 People
3 People
4 People
5 People
6 People
7+ People
I'd like my training in:
*
Training Timeframe
2 weeks or less
1-2 months
3-5 months
6-12 months
12 months or more
Type of YUME Head Spa Training
*
Type of Training
Interactive Group Training & Seminar
Hands-on Private Training & Seminar
Exclusive On-site Training & Seminar
How would you describe your YUME Head Spa experience level?
*
Experience Level *
Beginner
Novice
Intermediate
Advanced
Other (please specify)
Other Experience Level
Which Takara Belmont products do you own (check all that apply)?
*
Yume
Yume Espoir
Yume IXI
RS3 Elite
Spa Mist II
Micro Mist
Other
None of the above
Attendee Names
First Name
Last Name
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