Interested in being a
Kane Institute Of Advanced Aesthetics model?
Submit the below form for the chance
to be a Model in our Institute.

    Social media consent is required in order to be a model. Do you consent to your photo/video being taken and published on various social media platforms?

    Have you had Botox treatment in the past?

    When were you last treated with Botox?

    Have you had dermal filler in the past?

    When were you last treated with dermal filler?

    What services are you interested in?

    Are you prone to fainting (especially with needles)?

    What is your budget for treatment?