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Client Consent Form

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Full Name *

Phone *

Date of Birth *

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Agreed Services *

Nail Shaping
Gel Nails
Acrylic Nails
Polished Nails
Fill Ins
Full Sets
Manicure Service
Nail Art

Allergies? *

Emergency Contact

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Emergency Contact Person *

Contact Phone Number *

Authorizations

Acknowledgement of Services *

I acknowledge the receiving of services from this nail technician.

Consent to Treatment *

I consent to the treatment uses provided by this nail technician.

Release of Liability *

I release this nail technician from any claims, damages, or injuries.

Signature of Client *

Date of Signing *

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