Ten Syx Med Spa Release Form

Ten Syx Med Spa Release Form
This form seeks to get your consent to use your photos/videos that are taken by your Esthetician. Signing this form gives us the permission to use your photos/videos for business purposes. The refusal of this form by you will not affect the services you receive today and/or any future appointments.
Name
First NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please select the ones you agree
Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearToday’s Date
Sign
Clear
Should be Empty: