Safeway Medical Center • Safeway Dermatology

Dermatologist Skincare Training Workshop

Participant Enrollment & Registration Form. Please complete the fields below to secure your spot.

1. Full Name *

2. Age Bracket *

3. Sex *

Female

Male

4. Highest Educational Level *Tertiary Preferred

5. Occupation *

6. Do you currently recommend skincare products? *

Yes

Sometimes

7. Location (City / State / Country) *

8. Email Address *

9. WhatsApp Number *

10. How did you hear about this course? *

11. What else are you interested in learning?

Course Fee₦200,000

Bank Transfer

Please make payment to The Safeway Medical Center:

Bank NameSterling Bank

Account NameThe Safeway Medical Center

Account Number0500914176

Upload Transfer Receipt (Image or PDF)Max 8MB

Click to select payment receipt screenshot or PDFPNG, JPG, or PDF (Direct upload via UploadThing)

Course Understanding & Scope Disclaimer

"I understand that this is a Skincare Products Recommendation Course and not a course that qualifies me as a dermatologist or medical doctor. The training focuses on skincare product knowledge, appropriate recommendations, skin concerns, and an introduction to skin treatments and procedures."

I understand and agree *

Your information will be securely transmitted to Safeway Medical Center.