Request edit access
Parental Consent Form
The information in this form will be used for the purpose of parental consent for any client who is under the age of 18 wishing to have the beauty treatment, specified below, at Chroma hair Studio & Spa. We request that you complete the details below and return to us prior to treatment. This form must be signed with a Chroma Hair Studio & Spa Employee. this form will be stored in the minor and parent/guardian client profiles.

A few things to note:
-The youngest massage client we will take is 12 years of age
-The youngest facial or waxing client we will take is 15 years of age
-For a massage ages 12-15 the parent/guardian must be in the room for treatment
-For any waxing that is not on the face, the parent/guardian must be in the room for treatment
-For any massage, waxing, or facial services, the parent/guardian must be on the premises of Chroma Hair Studio & Spa

Email address *
Name of minor *
Your answer
Treatment giving consent for and corresponding date *
Your answer
Parent/guardian name *
Your answer
Relationship to minor *
Your answer
Street address *
Your answer
Contact number *
Your answer
By noting below, I agree that the minor may have the specified treatments as noted above. I understand that each time the minor comes in for treatment, I will have to update this form. I have checked their waiver and confirm that all information noted in the client intake and consent form is correct. Both myself and the minor fully understand what the treatment involves and I have read and understood any pre-treatment and aftercare advice. *
Required
Electronic Signature Agreement
By selecting the "I Accept" button, you are signing this
Agreement electronically. You agree your electronic signature is the legal equivalent of your
manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound
by this Agreement's terms and conditions.
Parent Guardian Consent *
Required
Chroma Staff Signature & Role *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service