The written forms required by this article shall contain, as a minimum, the following (consent to treat a minor):
CONSENT
We, the undersigned ______________________________________________,
(Parent, guardian, etc.)
do hereby give our permission for ___________________________________
(name of minor)
to receive massage treatment(s) at the_________________________________,
(place of business)
this the___day of_____________, 20__.
_______________________
Parent/guardian
_______________________
Parent/guardian
(Code 1976, § 10.80) (Ord. 4-75, passed 4-21-1975)