Glitter & Co Permission Form
Please complete this form to provide consent for your child to participate in the pamper party.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child’s Party Attending
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions or Allergies
Consent for Use of Photos/Videos (FACE) for Promotional Purposes
*
Yes, I consent
No, I do not consent
Consent for Use of Photos/Videos (NO FACE) for Promotional Purposes
*
Yes, I consent
No, I do not consent
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature of Parent/Guardian
*
Date
*
-
Month
-
Day
Year
Date
Submit Permission
Submit Permission
Should be Empty: