Consent Form for Text Messaging Reminders

I give permission and consent to receive text messages from Villa and House or others acting on Villa and House's behalf. As part of this consent, you represent and warrant the following:

(1) Villa and House or others acting on their behalf may send text messages in various formats and with various contents, including but not limited to, text messages about appointment reminders.
(2) You are the owner or authorized user of the mobile phone number identified below. You will notify us immediately if you are no longer the owner or authorized user of the mobile phone number identified below.
(3) You are solely responsible for any message and data charges associated with such text messages.

If you do not wish to receive text messages from the Villa and House or others acting on their behalf, you should not sign this form.

Printed Name

Date of Birth

Mobile Phone Number

Signature