Parent/Guardian form for clients 13-17 years old.

Parent/Guardian form for clients 13-17 years old.

The form of the service + this form must be filled out in order to keep your teens appointment.
Your Teens Name*

First NameLast Name
Your Name (parent/guardian)*

First NameLast Name
Your Email (parent/guardian)*
example@example.com
Your Phone Number (parent/guardian)*
Please enter a valid phone number.Format: (000) 000-0000.
Your information will be immediately contacted in case of an emergency, but if you are not available what is another emergency contact that can be reached.
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number *
Please enter a valid phone number.Format: (000) 000-0000.
The service(s) they are booking for*

FacialLash ExtensionsLash LiftBrow LaminationMakeup ApplicationWax
Does your teen have any allergies or contraindications?*
If yes, please list
Photographs are recommended for records & posting on social media for promotional reasons. Do you allow your teen to be photographed if they allow it as well?*
Every clients’ parent/guardian under the age of 18 is allowed to be with their teen at their appointment. Will you be there? *
By signing this form I consent to my teen booking a service with this esthetician.

I understand that this information will stay confidential to only the esthetician and will not be released to anyone else.

I understand that the esthetician is licensed and certified to perform these professional services.

I understand that the service consent from needs to be filled out by me and not my teen.

I understand if I am picking my teen up between the age of 13-15 and it takes more than 10 min to pick them up there will be a fee.
Signature*
Date*

MonthDayYear
Date
Should be Empty: