Micropigmentation - New Membership Application

Micropigmentation Application for Membership

New Membership Application
Date*

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Date
Name*

First NameLast Name
Address:*

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1) As a member to GAP, I agree to use new pre-packaged needles per procedure at all times. *
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2) I have read the GAP Membership Guidelines and agree to all terms of the conditions.*
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3) As a member, I understand that I am a professional and agree to be current on my professional liability insurance at all times.*
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4) I agree to maintain strict sanitation at all times*
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5) I agree to maintain and keep my Blood Borne Certification current at all times.*
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6) I will promote our mission to safe practice and higher education training. *
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7) I will encourage GAP Certification and never talk bad about GAP Certification. I understand the Association is made up of Committees that are professionals in the industry and decisions and changes are based on the best of knowledge and practice. I hold GAP harmless of any and all liability at all times.*
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8) I understand GAP is an Association for Certified Professionals and there are no guarantees.*
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9) I understand GAP is not responsible at anytime for my practice, procedures, business success, or any services I provide. I hold GAP harmless and take full responsibility for my actions. I further will protect GAP at all costs. *
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10) All members agree to only use professional products that approved by their insurance companies and will follow the manufacturer’s instructions at all times. *
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11) All members and their employees and contract laborers will utilize safe practices of OSHA sanitation and hospital regulation guideline sanitation (refer to your state board of health).*
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12) I understand in the event I receive a formal complaint from a customer, as a professional I will contact the client and attempt to resolve the complaint within 3 days of the written notice. As a professional I agree to be understanding, sympathetic, patient, and to always maintain a professional conversation.*
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13) I agree that microblading, scalp, permanent cosmetics, and all other names is depositing pigment into the skin and is considered a form of tattooing that is not to be considered a semi-permanent process.*
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14) All members agree that if they are not a licensed physician or other medical professional, they may not prescribe, suggest, or assist in diagnosing any condition or prescribing any medications. They will protect the client’s confidential information at all times. *
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15) I give permission for my name to be listed on the website as a Certified Professional.*
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I have read and agree to the above and to all items stated in the GAP Certification Guidelines. I agree to indemnify and hold harmless GAP from any loss and expense as a result, but limited to, of any claim or loss arising from my activities. I understand this is not a license, this is a certification from Global Association of Professionals awarded by the committee of professionals in the industry that you will be a part of to protect the image and industry standards. *
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Suggested Donations	Quantity	Price
Option 1		$5.00
Option 2		$10.00
Option 3		$50.00
Option 4		$100.00

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Micropigmentation Application for Membership