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AIRBRUSH TAN WAIVER

Please read, understand and sign the following:

Spray tanning is accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is considered to be safe and has been FDA approved ONLY if you follow guidelines to protect mucous membranes.

The FDA has directed that all users of DHA spray tanning services avoid inhaling or ingesting DHA. When receiving sunless tans containing DHA it may be difficult to avoid exposure to sensitive areas including the eyes, lips, mucous membranes or internally. We offer nose plugs and lip balm, & recommend that you leave on underwear or bikini bottoms for your tan. Please initial that you are aware of these recommendations and will use precautions during your session:


  • You will enter a private room where you will remove your clothing. This is up to you and your level of comfort. You should wear a dark swimsuit or underwear. Spa undergarments may be available upon request. The solution will wash out of most clothing. It is always best to wear dark loose fitting cotton clothing. It is advised to wash the undergarment or clothing worn as soon as possible after your session.
     
  • Next, You will be sprayed. This process will take approximately five minutes. After spraying, your skin should be dry before putting your clothes back on and you should not bathe or sweat excessively for nine hours. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a coloring additive in the solution that will remain on the skin until you are actually tan. When you shower, the coloring will come off to reveal your actual tan beneath.
     
  • All people are different. All ingredients 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. Please read the ingredients list if you have any known allergies.
     
  • Be advised there is a small percentage of people whose skin may not react favorably to spray tanning. For this reason, we do NOT advise being sprayed for the first time when your appearance is critical; (wedding/special occasion).  Please schedule a trial tan prior to an event if you are new to spray tanning.
     
  • Caution – Pregnant or nursing women should consult their physician before using.
     
  • Warning – This product does not contain a sunscreen and does not protect against sunburn. Repeated exposure of unprotected skin to U.V. Light may increase the risk of skin aging, skin cancer and other harmful effects to the skin even if you do not burn.

I have been provided with spray tan care instructions, which I have read and understand completely. To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I have been honest and accurate about the information that I have provided on this waiver. I take sole responsibility of any reaction I may have, staining of clothing and/or personal belongings. I understand and waive my right to prosecute should there be any adverse reaction to my skin from the Airbrush Body Bronzing system. I take sole responsibility for any damage caused to clothing or other belongings that come in contact with the airbrush solution. Parental consent is required if you are under the age of 18.

Date: May 5, 2026

First Client's Name
First Name*
Middle Name
Last Name*
Phone*
First Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
First Client's Signature*
Second Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Third Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Fourth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Fifth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Sixth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Seventh Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Eighth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Ninth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
Tenth Client's Name
First Name*
Middle Name
Last Name*
Client's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
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*
How did you hear about us?
How did you hear about us? (Please list referrals): *
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Do you have any skin issues?*
No
Yes
If yes, please list:
Are there any areas of concern that we should be aware of?*
No
Yes
If yes, please list:
Are you pregnant?*
No
Yes
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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