Consent To Treat A Minor Form

By filling this out you are giving Niche Spa+Airbrush Tanning permission to provide therapy and/or esthetic services to my son/daughter who is a minor by submitting this form.
ADDRESS

1904 South Street 

Suite 105

Blair Ne.  68008

Mon: 10-6

Tue: 10-7

Wed: 10-6

Thurs: 11-5

Fri 10-3

Sat 8-3 (only in on 1st Sat. of the month)

HOURS
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