Institute Rejuvee Registration Form

           Rejuvee Institute in the Continuing Education

Printed name exactly as you would like it to read on your certificate

Your're First Name (required)

Your Last Name (required)

Credentials (required)

Your Email (required)

City: (required)

State: (required)

Zip Code:(required)

Licence #(required)



I'm registered for the following hands-on workshops(required)

Target Audience:
Workshop is created for students who possess certificates of cosmetology, esthetics, RN's and other medical professionals, and for select courses massage therapist.

I hereby authorize Rejuvee™ to charge my credit card.

Cardholders (required)

City,State,Zip Code(required)

The amount is a deposit to secure my place in the upcoming professional training Workshop(s). I understand that the full amount will be expected two weeks before the workshop.
My credit card will be billed two weeks prior to the first seminar in the series. I further affirm that the name and personal information provided on this form are true and correct.
I further declare that I have read, understand, and accept Rejuvee™ business terms published on their website and as stated in their brochure.
Do not need filet out credit cards information, bat you accept:
"If you pay with PayPal, your do not need to fill out the credit card information requested below: however, you accept that refunds can only be given for cancellations up to 7 days until the workshop begins. I confirm that I voluntarily make a payment via PayPal."

Please note: All cancellations must be received in writing via mail or email. The Cancellation Policy will be strictly enforced, since workshops require a great deal of planning and preparation.

A refund will be given, less a $50.00 processing fee, if a cancellation is received at least 7 days prior to the start of the workshop. Any cancellations after this time will not qualify for a refund. However, with the approval of the administrative department, the tuition may be used in the future for a workshop.

I further, declare that I have read, understood and accepted Rejuvee™ business terms.

Course Location (City) 3015 Riverdale Ave. Suite 4-f, Bronx NY, 10463

Curse Date (required)

To register, please complete this form and mail with your copy of your Professional License (s)

Date of Applications:(required)

Student Signature: (required)

Promo Code

Your Message

Thank you,


Please, select your course.

An email confirmation will be sent upon receipt of payment.

Workshop Registration



When & Where


By Phone:

Dr.Bojana Matovski -201 660 0321

Spanish Contact:
Raquel Baraka – 732 770 1295

Institute Rejuvee-Training Room

Institute Rejuvee-Training Room

Why Should I Become Certified?

Because dedicated professionals seek to improve their skills and to provide a benchmark for clients seeking treatment. Many technicians become certified to improve themselves and the profession, or simply to advertise their credential to their clients or potential clients.

Ultrasound Cavitation Training Natalia 05.20.14 006

Ultrasound Cavitation Training Natalia 05.20.14 006

Hands on training

Hands on training