Parental consent form

Parental consent form
The information being collected on this form will only be used for the purpose of parental consent for any client who is under the age of 18 and wishing to have the beauty treatment, specified below at The Barn Beauty Rooms. We request that you complete the details below and return to us prior to treatment, this form will then be stored along with the young person’s consultation form. If the client is under the age of 16 they will also be required to have a parent or guardian present throughout the treatment
Name of young person

First NameLast Name
DOB of young person

MonthDayYear
Date
Please fill out your details below
Treatment
Name

First NameLast Name
Relationship to young person
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number

Area CodePhone Number
By signing and submitting this form I am happy to give my consent for the young person named above to have the specified treatment/s. I have checked the record form details and can confirm they are correct. Both myself and the young person fully understand what the treatment involves and have read and understood any pre- treatment and aftercare advice.
Signature

Clear
Should be Empty: