agreement | Healing Touch by Tasha

WHAT TYPE OF SERVICE ARE YOU BOOKING? PLEASE CHECK THE BOX FOR IN-SALON OR MOBILE, AND FILL OUT THE FORM ACCORDING TO THE OPTION YOU SELECT.

MOBILE

IN-SALON

Client CC Authorization:

I confirm that the credit/debit card provided belongs to me, (the client), and I authorize Healing Touch By Tasha to charge this card for all applicable services, deposits, or cancellation fees.

THIS SECTION IS FOR THE CLIENT USING CC- Please provide your last 4 digits of your CC and expiration date.

Other Party CC Authorization- I Authorize the client Above to use my CC for Services provided by Healing Touch by Tasha. I Undertsand and agree that I am responsible for all charges incurred on this card for these serivces.

THIS SECTION IS FOR THE OTHER PARTY USING CC- Please provide your last 4 digits of your CC and expiration date.

OTHER PARTY'S CC Signature- REQUIRED IF YOU ARE USING YOUR CC FOR THE CLIENT.

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Address

Email

Emergency Contact Name & Number

🕊️HEALING TOUCH BY TASHA - CLIENT AGREEMENT FORM (MOBILE

THIS SECTION IS FOR THE CLIENT USING CC- Please provide your last 4 digits of your CC and expiration date.

Other Party CC Authorization- I Authorize the client Above to use my CC for Services provided by Healing Touch by Tasha. I Understand and agree that I am responsible for all charges incurred on this card for these serivces.

THIS SECTION IS FOR THE OTHER PARTY USING CC- Please provide your last 4 digits of your CC and expiration date.

OTHER PARTY'S CC Signature- REQUIRED IF YOU ARE USING YOUR CC FOR THE CLIENT.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.