Parental Consent Form

Parent / Guardian Information

A parent / guardian of any child under 18 must complete and sign this consent form prior to the minor receiving a VillaSpa service.

First Name

Last Name

Membership Number

Phone

Child Information

Name

Date of Birth

VillaSpa Services

Check all services that you consent to your child receiving

Nails - Minimum Age 3 - Ages 3-12 require a parent to be present in the room during the service.

Massage - Minimum Age 13 - Ages 13-15 require a parent to be present in the room during the service.

Facial - Minimum Age 13 - Ages 13-15 require a parent to be present in the room during the service.

Waxing - Minimum Age 13 - Ages 13-15 require a parent to be present in the room during the service.

Spray Tanning - Minimum Age 16

Parent / Guardian Consent

I, the undersigned parent or guardian of the child named above, hereby give permission for him/her to receive the VillaSpa service(s) checked above.