Parental Consent Form

Parental Consent Form

Our beautiful team is looking forward to taking care of you! We take great pride in the level of service and expertise we offer!
Parent/Guardian Name

First NameLast Name
I am the parent and/or guardian of the subject minor (insert minor's name below)

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
I give permission to Lash & Beauty Lounge to perform Lash and/or Brow Services on the subject minor*

I AGREE & CONSENTI DISAGREE & DO NOT CONSENT
I understand that I must be present wen minor is filling out intake form.

I UNDERSTANDI DO NOT UNDERSTAND
Has minor had Lash and/or Brow services in the past?

YESNO
My minor has the following conditions/sensitives that the eyelash technician should be aware of, I will also be sure this is noted on the Lash & Beauty Lounge Intake form:
I give consent to Lash & Beauty Lounge to take photographs of my child(ren)'s lashes and use them as content for Lash & Beauty Lounge's use.

I AGREE & CONSENTI DISAGREE & DO NOT CONSENT
This agreement/parental consent form will remain in effect for this procedure and all future services conducted by the Lash & Beauty Lounge. I have read carefully and efficently and fully understand all the information, terms, and conditions in this agreement. I acknowledge that my child(ren) is under the age of 18 years old. If my child is under the age of 14 years old I will attend the appointment.

By sigining this parental consent form, I am agreeing to have a Lash & Beauty Lounge tech conduct this eyelash extension and/or lash & brow procedures on my minor child.
Date

MonthDayYear
Date
Parent and/or Guardian Signature

Clear
Should be Empty: