AKAYSKIN | Parental Consent Form

Parental Consent Form For Minor Facial Services

Minor Information

Client's Name

Birthday

Month

Day

Year

Other Medical Information Or Conditions

Current Medications & Supplements (List All)

Allergies & Sensitivities (List All)

Parent / Legal Guardian Information

Name

Phone

I am the parent or legal guardian of the minor listed above. I give permission for my child to receive facial and skincare services from AKAYSKIN.

I understand that these services may include, but are not limited to, cleansing, exfoliation, masks, light massage, and the use of professional skincare products and equipment appropriate for minors.

I confirm that I have informed AKAYSKIN of any known medications, medical conditions, and allergies.