Parent/Guardian permission form for under 18's
Please fill out the following health declaration form referred to the treatment you want to book plus this form in order to book a treatment with me. Submissions has to be done prior your booking. Thank you for taking your time to do that. I will check and get in touch, if any concerns. Looking forward pampering you soon.
I agree to inform immediately, if my body temperature or the minor client is getting higher than 37°C, develop a cough or loose my sense of taste and smell in the last 24 hrs prior to the treatment.
Please advise, if your child has any known allergies or is allergic to anything that might affect the treatment:
Yes
No
If YES, elaborate more
Please advise, if your child currently received treatment from a medical practitioner and/or is taken medication prescribed for them for a medical condition
Yes
No
If YES elaborate more
In my home of Miss/Mr
Parent/ Guardian of name and age
Address
Phone Number
Email
Please leave instructions for parking. I am caring heavy equipment, so free immediate parking to the property is required.
Please upload a doctors notes, if you have medical condition and require adapting your treatments
Select a File
I agree with the terms & conditions and I confirm that the information given in this form is true. This letter confirms that I give permission for the chosen therapist to provide the treatment.
Date
Your Signature
*
Clear
Submit
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