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SPRAY TAN RELEASE

Please read, understand and sign the following:

The FDA does not currently regulate spray tanning. However, DHA is listed in the Food, Drug and Cosmetic Act (FD&C Act) as a color additive for use in imparting color to the human body.  However, its use in cosmetics – including sunless “tanning” products – is restricted to external application.  According to CFR, “externally applied” cosmetics are those ‘applied only to external parts of the body and not to the lips or any body surface covered by mucous membrane” (21 CFR 70.3v).

  • DHA reacts with the skin’s amino acids resulting in a “tan” similar looking to that of the sun.  The darker you can tan naturally, the darker you can tan with a spray tan.  Like most cosmetics, avoid exposure to the eyes, lips, and other parts of body covered with a mucous membrane.  This should be accomplished by use of protective garments, eyewear, nose and sealing lips with lip balm prior to your service. All protective measures are available to you at K’s Airbrush Tans.
     
  • Pregnant or nursing women should consult with their physician prior to using sunless products.
     
  • Our tanning solutions all contain cosmetic bronzers which could potentially transfer to clothing, furniture or car seats. It is best to wear dark colored swimsuits or undergarments during and after your session as some fabrics are prone to stains. Launder all clothing as soon as possible for best results.
     
  • All ingredients in the product used in this procedure are intended for cosmetic use and generally regarded as safe.  There are, however, occasions where individuals may be allergic to one or more ingredients in the spray tan solution.  If you have any known allergies, especially to any cosmetic ingredients or dyes, please request an ingredient list prior to your session. If a reaction occurs, shower and discontinue use.  If severe reaction, contact a physician. 
     
  • Be advised there may be a small percentage of individuals whose skin does not react favorably to spray tanning.  Some medications such as birth control pills, hormone replacement medications, or antibiotics may alter your tan.  Please consult with your technician if you have any questions.
     
  • Following the spray tan session, please avoid: tight clothes, excessive perspiring, leather seats, and do not shower for at least 8 hours or 2-4 hours if getting a rapid tan.  Letting solution stay on overnight without showering is recommended.  Some fabrics may be stained by the spray tanning solution, please use caution and care.
     
  • Everyone’s skin tans differently. Some people tan darker and some will tan lighter. We make no warranties as to how dark each individual will tan. Each person’s skin also exfoliates at a different rate and therefore the length of time a spray tan lasts will vary. The average tan can last approximately 7-12 days, however K’s Airbrush Tans cannot and does not guarantee how long your sunless tan will last.
     
  • K’s Airbrush Tans is not responsible for lost, stolen or damaged personal items.
     

WARNING – This product does not contain a sunscreen and does not protect against sunburn.  Repeated exposure of unprotected skin may increase the risk of skin aging, skin cancer and other harmful effects to the skin even if you do not burn.

I have read the contents of this consent form carefully and state that I am not aware of any medical condition, allergies, or other reason that would prohibit me from sunless tanning.  I have been given adequate instructions for the proper use of the sunless application, understand the risks involved, and use it at my own risk.  I hereby agree to release the owners, operators and manufacturers from any damages that I might incur due to the use of this facility.  I have been advised to discontinue use if any reaction occurs.

I have read and completely understand this consent form.

Today's Date: May 18, 2024 

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
I HEREBY GIVE MY PERMISSION as parent or guardian of above listed minor, whos years of age is listed above to be spray tanned.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
How would you describe how your skin reacts to natural sunlight with no sun protection?*
Have you received a spray tan before?*
Yes
No
Are you allergic to any cosmetic ingredients or dyes?*
No
Yes

If yes, please list. (Please request an ingredient list by emailing ksairbrushtans@gmail.com at least 72 hours before your appointment if you have any allergies of concern.)
Any related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any skin conditions?*
No
Yes

If yes, please list
Do you have any respiratory illnesses?*
No
Yes
Are you or could you be pregnant?*
No
Yes
If yes, do you have permission to spray tan?
Yes
No
Are you currently nursing?*
No
Yes
Are you spray tanning for one of the following?
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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