Parental Consent Form
Please complete this form to provide consent for services to be performed on your minor child. All fields are required.
Minor’s name
*
Services to be performed
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Full name of parent or guardian
*
Signature of parent or guardian
*
Signature of esthetician
*
Submit Consent
Submit Consent
Should be Empty: