APARTMENT HOTEL MIMARU_Parental Consent Form

Parental Consent Form

Submission of a parental consent form is required for a stay of a minor (when more than one guest is staying, a consent form from one parent (guardian)). Personal information provided here will not be provided or disclosed to any third party without prior consent of the guest.
As a parent (guardian) of the minor named below, I consent to him/her staying at *
and understand the hotel may contact me in the event such is deemed necessary.*

月日年
Date of signature.