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Consent Form
Full name of the birthday child whos party you are attending NOT YOUR CHILDS NAME
Date of the party you are attending
What are you attending?
Pamper bus
Pamper salon
Your childs full name
Your childs date of birth
Parent/Guardian full name
Parent/guardian contact number
Parent/guardian email address
Does your child have any medical conditions, disabilities or health concerns that we should be aware of?
No
Yes - please provide details below
If Yes, please give details
Does your child have any allergies?
No
Yes - please provide details below
If Yes, please give details
Is your child currently taking any medications?
No
Yes - please provide details below
If Yes, please give details
Treatment consent
I give permission for my child to participate in the age-appropriate treatments and activities included in their booking. These may include, where appropriate, hair styling with heat tools, makeup, skincare, mini facials, manicures, pedicures, glitter tattoos, face gems, massage, LED face mask, and other pampering activities offered by Pampered Perfectly. I confirm that i have read and agree to the above and give permission for my child to participate. eceive pamper party services such as hairstyling (including supervised heat tools), mini manicures/pedicures, mini facials, face masks, makeup, face gems, glitter makeup, glitter tattoos, and age-appropriate pampering activities. All services are for entertainment purposes only
Do you give permission for photographs and/or videos to be taken during the visit which may be used by pampered perfectly for social media and marketing purposes?
Yes, i give permission
No, i do not give permission
I confirm that i am the parent/guardian or have parental responsibility for the child named on this form. I confirm that the information i have provided is accurate and complete. I understand that i must inform Pampered Perfectly of any changes to health, allergies, medication or other relevant circumstances before their visit. I understand that Pampered Perfectly may refuse, modify or stop a treatment or activity if it is considered unsuitable or unsafe.
Electronic Signature
Date
Submit