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Client Consent & Waiver Form

You have agreed to participate in a spray tanning session to achieve a “sunless” tan on your skin. To help best achieve your desired results, please read the following material carefully and acknowledge your understanding and agreement by initialing and signing below.

 

Sunless Spray Tanning is accomplished by application of a solution containing the active ingredient Dihydroxyacetone (DHA). The sunless solution is sprayed onto the skin manually using a spray gun. DHA has been approved by the Federal Drug Administration (FDA) for cosmetic use and when used according to FDA guidelines, spray tanning is perfectly safe. Golden Girl Spray Tans provides a healthy environment with a ventilation system. In addition to good ventilation, the FDA recommends the use of nose filters, protective eyewear, lip balm for lips and having the client wear a thong or panty.

I Agree

 

DHA reacts with the skin’s amino acids resulting in a ”tan” similar to that of the sun, but with no Ultra Violet, (UV), danger. Sunless tanning does not provide any UV protection; use Sun Protection Factor, (SPF), and sun protection as usual.

I Agree

 

If you have sensitive skin or allergies to sunless tanning products containing DHA or if you are unsure whether you may be allergic to DHA, we strongly suggest consulting your physician prior to sunless tanning. Allergic reactions such as minor skin rash are extremely rare, but possible. If you have never used a sunless tanning product, we suggest a patch test 24 hours before the full body application. Golden Girl Spray Tans is not responsible for any allergic reactions that may occur during or after use.

I Agree

 

If you have a history of asthma or other respiratory or medical conditions that could be aggravated by the use of the spray tanning process, please consult a physician before proceeding. Please tell your tanning technician about any past allergic reactions with DHA products or other medical concerns. Golden Girl Spray Tans is not responsible for the aggravation of any medical condition that may occur during or after use.

I Agree

 

You should prepare your skin for your session prior to your arrival. Skin should be free of deodorant, sweat, fragrances, lotions and should be clean, dry and exfoliated (removal of dead, dried skin cells) and shaved. Remove all make-up and do not wear any jewelry of any kind. If you attend a spray tanning session without proper preparation, Golden Girl Spray Tans cannot guarantee lasting or satisfactory results.

I Agree

 

The bronzer in sunless tanning solutions used during your session has the potential to stain clothing. We recommend that you wear something dark in color that can be stained without concern. After your tanning session, you should wear dark loose fitting clothes.

I Agree

 

It is also possible that the sunless tanning solution may transfer to other clothing, furniture or car seats after your session. Washing or dry-cleaning will usually, but not always, remove the color. Golden Girl Spray Tans is not responsible for potential stains to clothing or upholstery. Please be conscientious and careful.

I Agree

 

Your tanning session will take approximately 25 minutes, this includes a prep spray and dry time. After spraying, your skin should be mostly dry before putting your clothes back on and you should not bathe, shower or sweat excessively for 8 – 10 hours after your session. Exposure to excessive moisture before this time period may affect your results. When your session is over the solution will give you an immediate bronzing effect. When you shower, the bronzer will come off and reveal your true tan color, keep in mind that most solutions require a FULL 24 hours to develop.

I Agree

 

 

Client Condition

Golden Girl Spray Tans will provide spray tanning services to women who are pregnant or nursing; however, the client is advised to consult their physician prior to application. The client is also advised to wear all protective gear provided (nose filters, panties or disposable thong, lip balm, and top or disposable pasties) Be aware that due to hormonal conditions during pregnancy, it may affect the outcome of your spray tan color and/or evenness. 

I Agree

Female Clients, 18 years of age and over, may choose to receive spray tanning services nude, however, the FDA recommends that a thong or panty be worn.

I Agree
 

Female clients under the age of 18 must be accompanied by a parent or legal guardian or have approval using the form below.

I Agree
 

Golden Girl Spray Tans will not be responsible for lost, stolen or damaged personal items.

I Agree
 

 

 

 

Spray Tanning Process

Process

 The spray tanning process has been explained to me and I hereby agree to allow Golden Girl Spray Tans to apply sunless solution to my skin using the spray tanning process. To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I agree to hold harmless Golden Girl Spray Tans of any medical complications that may arise and I have been advised to discontinue use if any reaction occurs. I understand that the results of spray tanning do vary and that no guarantees of specific results are offered or implied. I hereby release this establishment, as well as the technician and hold them harmless from any liability involved in the use of or arising during the tanning process. I also agree to first contact Golden Girl Spray Tans if for any reason I am dissatisfied with my results.

I Agree

 

Covid-19 and Other Communicable Diseases

1.) Risks of Exposure: COVID-19 is highly contagious and can spread easily and exponentially. While people of all ages are at risk of catching COVID-19, persons especially at risk are those with compromised immune systems and the elderly.

2.) You agree to take all reasonable and necessary precautions to protect yourself and others from the spread of COVID-19, including but not limited to the following:

a.) You agree and understand that it is your responsibility to exercise care to protect yourself, such as assessing your own risks, which may include age, underlying health conditions, recent travel, possible exposure to COVID-19, doctor's recommendations, and local, State and Federal recommendations.

I Agree

b.) You represent that (1) to the best of your knowledge, you are not currently afflicted with, and have not knowingly, within the last 14 days, been in contact with someone afflicted with COVID-19, and (2) you are not experiencing a fever or signs of respiratory illness such as cough, shortness of breath or difficulty breathing, or other COVID-19 symptoms.

I Agree

c.) You believe that you are not likely to transmit or contract COVID-19.

I Agree

d.) GGST will clean, sanitize and disinfect all surfaces after each client, paying special attention to commonly touched items such as doorknobs, handles and countertops.

I Agree

e.) No children or other guests (besides a parent if client is a minor) may accompany you to your appointment for health and safety reasons. If they do, they must wait for you in their vehicle.

I Agree
 

f.) By signing below, you are declaring the foregoing is true, that you agree to take all recommended and reasonable actions to protect yourself and others from exposure to COVID-19, and that you assume the risk, as applicable, of entering GGST and receiving a spray tan. You understand and agree that no one, including but not limited to GGST and/or Christy Welte, can guarantee that you will not be exposed to or contract COVID-19.

I Agree

Read & Understand

 I have read and completely understand this consent form.

I Agree
 

 

 



First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Second Client's Signature*
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Third Client's Signature*
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Fourth Client's Signature*
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Fifth Client's Signature*
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Sixth Client's Signature*
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Seventh Client's Signature*
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Eighth Client's Signature*
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Ninth Client's Signature*
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
Tenth Client's Signature*
Client's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Social Media Name @: *

How did you hear about GGST? (If you were referred by a friend or family member, please list their name) *

Do you have any allergies or sensitivities that GGST should be aware of? *

Do you have any skin conditions GGST should be aware of prior to your appointment? (i.e. Eczema, Psoriasis, Vitiligo, etc.) *

Do you have any respiratory illnesses? *
Are you pregnant?*
No
Yes

If pregnant, how far along are you? *

Have you ever received a Spray Tan or applied self tanner (lotion, mist or foam) before? *

Are you getting this Spray Tan for a special event? (Wedding, Vacation, Party, etc.) If so, please list. *
Would you prefer your custom spray tan to be *
Coconut
Pineapple
Unscented
Would you prefer to be able to rinse in*
2-5 Hours
8-12 Hours
Would you prefer your final color to be *
Light - I don't want to be too dark!
Medium - A nice natural color is good for me!
Dark - Make me T A N!
Deep Dark - A deeper, darker tan...but not quite ULTRA dark.
Ultra Dark - Spray me down, make me B R O W N!
Extreme - For those who want the DARKEST spray tan available on the market.
In natural lighting, do the veins in your wrist appear: *
Blue or Purple (cool skin tone)
Green (warm skin tone)
Unable to tell (neutral skin tone)
How would you describe your skin type:*
Type 1 - Skin burns very easily & doesn't tan. Likely to have light blonde or red hair.
Type 2 - Skin will usually burn in the sun & has difficulty tanning.
Type 3 - Skin will sometimes burn and will tan gradually.
Type 4 - Skin will tan easily and rarely burn.
Type 5 - Skin will tan without burning.
Type 6 - Skin never burns and will tan very quickly.
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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