Who's celebration are you attending? *

First Name

Last Name

Date of celebration? *

MM

DD

YYYY

Your child's full name? *

First Name

Last Name

Does your child have any of the following? *

Cuts/abrasions/broken skin on the face/arm/hand(s)

Bruises or swelling on the face/arm/hand(s)

Recent scar tissue (less than 6 months old) on the face/arm/hand(s)

Skin tags or milia on the face/arm/hand(s)

Sunburn on the face/arm/hand(s)

Skin condition

Allergies to any beauty products

Current medication that may effect treatment

Anything else not listed but that we should know about?

NO, none of the above

Do you consent to Festival Glitter face/arm/hand(s) treatment? *

GLITTER GLUE INFORMATION * Conforms to Cosmetic Regulations EU1223/2009. * This is a water based product and can easily be washed off the skin with warm soapy water. * Safe for children over 3 years of age. Ingredients Aqua, Alcohol Denat, VP/VA Copolymer, Panthenol, Carbomer, Aminomethyl Propanol, Disodium Edta.

Yes, application on the face

Yes, application on the arm/hand(s)

No, I would prefer my child not to participate in this treatment

Does you child have any of the following pertaining to the hand(s) area? *

Damage to their natural nail(s)

Fungal or infected nail(s)

Arthritis or any pain?

NO, none of the above

Do you consent to application of OPI Nail Varnish/Nail Stickers? *

Yes, application of OPI nail varnish/nail stickers

No, I would prefer my child not to participate in this treatment

As the legal parent/guardian of above named child, I give permission on their behalf to have the following Glitter 'Festival" face/arm/hand(s) and OPI Nail Varnish treatment(s) preformed. I have provided as much relevant information as possible on my child's behalf and consent to the above treatment(s). I agree to supervise any at home aftercare requirements that are recommended as part of the treatment(s). *

I Agree

Do you agree to photos and/or short videos of your child that may be used by NAIL BUS LTD associated websites and social media platforms for marketing purposes? *

Photos and/or short videos will be removed within 24 hours if required at any time

Yes

No

Date *

MM

DD

YYYY

Parent/Guardian(s) Full Name ( *

First Name

Last Name

Parent/Guardian(s) Phone Number *

Country

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