AAAMS Aesthetics 101 Registration
Please complete the entire form to confirm your registration.
Select a Course Date
Saturday and Sunday, January 13 - 14, 2018
Saturday and Sunday, March 17 - 18, 2018
Saturday and Sunday, May 26 - 27, 2018
Saturday and Sunday, July 21 - 22, 2018
Saturday and Sunday, October 6 - 7, 2018
Select a Choice
Doctor (MD, DO, OB/GYN)
Dentist (DDS, DMD, BDS)
Physician Assistant (PA)
Nurse (NP, RN, LPN/LVN)
Medical Student / Resident
Company / Practice Name
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Country of medical license or university
Please attach a copy of your medical license or diploma
Please attach a copy of your CV / resume
(.DOC or .PDF)
Please type the exact spelling of the full name and title to be printed on your training certificate
Example: John Doe, MD
Example: Jane Doe, RN, BSN
Is this your first AAAMS Training Course?
How did hear about AAAMS?
Internet (Google, Bing, Yahoo, etc.)
AAAMS New Members Dinner
You are cordially invited to a “New Members Dinner” on the evening of the first day of training. This will be a great opportunity to mingle with AAAMS faculty and fellow members. A full course dinner will be served.
You are welcome to bring a guest to this lovely social event however there is a $75.00 fee per additional guest. Payment will be required before the course start date. Registered attendees do not have to pay fees.
Please RSVP to confirm your attendance by completing the fields below. We will make reservations on your behalf.
Will you be attending the dinner?
Will you bring a guest?
Yes, I am brining a guest to dinner
9478 W Olympic Blvd Suite 301 Beverly Hills, CA 90212
Local Hotel Recommendations
We recommend the following hotels as they are all walking distance from the training center:
• Avalon Hotel - 9400 W Olympic Blvd, Beverly Hills, CA 90212 | (310) 277-5221
• Beverly Hills Marriott - 1150 S Beverly Dr, Los Angeles, CA 90035 | (310) 553-6561
• Residence Inn - 1177 S Beverly Dr, Los Angeles, CA 90035 | (310) 228-4100
Terms and Conditions
$2,000.00 Early Bird Special - 4 Weeks Prior is a limited time offer that is valid when registration occurs 4 weeks prior to the course start date. $2,500.00 Standard Registration is the price for registration that applies for any other circumstance not listed above. Group discount on 3 or more registrations.
All fees paid to The American Association of Aesthetic Medicine and Surgery (AAAMS) are non-refundable. The American Association of Aesthetic Medicine and Surgery (AAAMS) reserves the right to cancel a course for any reason and does not take responsibility for any associated fees. Registration fees are fully refundable if The American Association of Aesthetic Medicine and Surgery (AAAMS) cancels the course. Course venue(s), staff and materials are subject to change without further notice.
Certificate of Completion.
A physical certificate of completion will be provided at the conclusion of the training. The American Association of Aesthetic Medicine and Surgery (AAAMS) is not responsible for lost, damaged, or misplaced certificates. Full name and title will be written exactly as inputted within the membership application. The American Association of Aesthetic Medicine and Surgery (AAAMS) is not responsible for user input error and/or misspellings.
Please note that faculty and program are subject to change without notice. To qualify for hands-on with real patients, you must show valid proof of medical licensure prior to the course.
If you have any questions regarding the meaning or application of this registration application, please direct such questions to email@example.com. Please note that e-mail communications will not necessarily be secure; accordingly you should not include credit card information or other sensitive information in your e-mail correspondence with us.
By clicking on the "I Agree" button, you agree to become bound by the terms of this registration application. If you do not agree to these terms, you must discontinue use or hit "I Do Not Agree."
In order to proceed, you must agree to the following statement:
I have read and agree to the registration application terms and conditions.
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