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Please read and sign this waiver before your scheduled appointment. 

Please read, understand and sign the following.


• Spray tanning is accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is FDA approved and is regarded as safe to use for external application to the skin.

• Warning – This product does not contain a sunscreen and does not protect against sunburn.


•I have been provided with spray tan care instructions (these will be sent to you via email or text message), 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 this waiver is perpetual and ongoing and it is my responsibility to notify this business if any information changes. 

I have read and completely understand this consent form.


 

 

First Your Name Name

First Name*

Last Name*

Phone*
First Your Name Date of Birth*
I certify that I am 18 years of age or older
First Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
First Your Name Signature*
Second Your Name Name

First Name*

Last Name*

Phone*
Second Your Name Date of Birth*
Second Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Third Your Name Name

First Name*

Last Name*

Phone*
Third Your Name Date of Birth*
Third Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Fourth Your Name Name

First Name*

Last Name*

Phone*
Fourth Your Name Date of Birth*
Fourth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Fifth Your Name Name

First Name*

Last Name*

Phone*
Fifth Your Name Date of Birth*
Fifth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Sixth Your Name Name

First Name*

Last Name*

Phone*
Sixth Your Name Date of Birth*
Sixth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Seventh Your Name Name

First Name*

Last Name*

Phone*
Seventh Your Name Date of Birth*
Seventh Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Eighth Your Name Name

First Name*

Last Name*

Phone*
Eighth Your Name Date of Birth*
Eighth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Ninth Your Name Name

First Name*

Last Name*

Phone*
Ninth Your Name Date of Birth*
Ninth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Tenth Your Name Name

First Name*

Last Name*

Phone*
Tenth Your Name Date of Birth*
Tenth Your Name Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Do you have any allergies or skin conditions?*
No
Yes

If YES, please list:
Are you allergic to latex?*
No
Yes
Are you pregnant or nursing?*
No
Yes
Do you understand you must prep your skin at least 12 hours before your session?*
No
Yes
Do you typically tan easily?*
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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