Questionnaire
We hope that the program of our intensive course will be interesting for you, and you will widely apply technology in your future activities. After mastering the methods, you can immediately start working with threads, fillers and botulinum toxin. The cost of a three-day course is 1850 euros. We ask you to fill out this electronic form to register for the course, and in the near future you will receive feedback to pay the deposit (350 euros) and more detailed information.

Thank you in advance!

Email address *
Your answer
Surname, Name *
Your answer
Specialization *
Your answer
Your address or work address *
Your answer
Phone number
Your answer
From which source did you get information about our course?
Your answer
Course Schedule
Name and Surname in Latin (for issuing a diploma)
Your answer
Do you agree to receive news from Medical Esthetic?
I agree to declare that I have passed tests for syphilis, HIV and hepatitis, and I am not a carrier of these diseases at the time of the cadaver course based on the Anatomical Institute of Charles University in Prague. *
Your specialist diploma. If you do not have a scan of the document at hand - please send his photo in WhatsApp or Viber messengers by phone: +420607286288 or email: olga@medicalesthetic.cz
I agree with the conditions of participation in the cadaver course, according to which I do not have the right to photograph and videotape the biological material provided for training and the staff of the Anatomical Institute of Charles University. I take into account and agree not to distribute and not to apply confidential information obtained in the framework of the course concerning the organization of the work of the Anatomical Institute, its employees, principles of operation, work tools and so on. In case of violation of this obligation or evidence of using the information obtained at lectures, in social networks or transferring to third parties without the consent of the organizers of the course and the dean's office of Charles University, I realize that I can be punished by the civil law code of the Czech Republic 101/2000 Sb., on the Protection of Personal Data and on Amendments to Certain Acts, and the trade code of the Czech Republic concerning the non-disclosure and use of confidential information in accordance with the law § 269 of Act No. 513/1991 Coll., Commercial Code. *
Protection of personal informatik
Dear client,

Since May 2018, a new regulation on the protection of personal data of the European Union or the “General Rules for Data Protection” has come into force, which will define new rules for the preservation and processing of personal data. This also applies to your data that you provided to us during our past collaboration. It includes, for example, your name, address, date of birth, telephone number, contact details, etc.

We would like to save this data in order to contact you with interesting proposals in the future, as well as to post photos that will be taken during the anatomical course. Therefore, we ask you to give us your consent to the storage of your personal data. You do not need to share any new information with us, it is enough to give us your consent to use the information that you have already provided to us. If you agree, click on the button below and confirm your acceptance of the processing of personal data.

If you decide not to give us your consent, all you need to do is click "Unsubscribe" at the end of this message. We will delete your personal data, but we will no longer be able to contact you for any mason

Confirmation with the recording of personal data in our database system *
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Medical Esthetic s.r.o.
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