As the parent/ legal guardian of (minor’s name). I give permission for him/her to have the following services performed:

The Consenter hereby agrees to hold (“Releasee”) harmless of all forms of liability that includes their assigns, employees, and successors, and their respective heirs, successors, personal representatives, affiliates, and all persons, corporations, and firms liable or who might be possibly liable, wherein named herein or not, none of whom admit any liability to the undersigned, but all expressly denying liability from any claims or actions of any kind, which may arise to all damages and injuries to both person and property, and also future damages and injuries arising from the Consenting Acts.