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Parental Consent Form – Stone Oak

Home / Parental Consent Form – Stone Oak
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Name of minor.
Name of Parent/Guardian
As the parent or legal guardian of the above listed minor, I give permission for my child to have treatment done.
I give consent for my child to be in the treatment room without me
My child will be accompanied by a legal adult that is not the parent. Minor will be accompanied by an adult nanny, babysitter, aunt, uncle, sister, brother or cousin (must be over 18 years old).
I confirm I have read and understand all information on the applicable forms for treatment(s) requested above, and accept responsibility on my child’s behalf for any disclosures or liability described on those forms. I agree to supervise any home care procedures that are recommended, as per treatment.
I have read the above information and give permission for my child to receive services from Elite Lashes LLC of all liability for any services rendered.
Service requested today
Clear Signature