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Glow Girl Elite Sunless Tanning Waiver

If you are under the age of 18, you must have parental/guardian sign & consent & be present at all times for any Spray Tan Services.

Please note there is a small percentage of people whose skin does not react favorably to spray tanning. For this reason, we do NOT advise being sprayed for the first time when your appearance is important; e.g., weddings, any special occasion, photographic sessions, modeling assignments, etc.

A Spray tan will NOT protect your skin from burning in the natural sun or in a UV tanning bed. We do not recommend you get a spray tan if you have had a sunburn or have had skin peeling in the last 30 Days as the DHA can accelerate the peeling process and will turn out patchy.( if you have any questions please ask your Spray Tanning Technician) Healthy, hydrated skin will have better results and hold results longer. A spray tan will typically last 5-7days. The result and longevity of your spray tan depends on your natural cell turnover rate, products used, medications, hormones, your health and the health of your skin. Wait at the least 8-10 hours (for overnight solution) after your spray tanning session before showering unless using a rapid rinse solution (rinse in 1-6hrs). *Use dark clothing and sheets if going to bed before showering. The initial bronzers in the spray tanning solution may transfer to clothing or fabric. The bronzers are water soluble and will wash out of most fabrics.

All the components of the spray tanning solution have been safely used in cosmetics and nutritional products for decades and have been proven safe for the skin. If you had adverse effects utilizing self tanning products or moisturizers in the past, you may experience similar effects with the airbrush tanning.

There are, however, occasions where individuals may be allergic to one or more ingredients in the spray tan solution. Please discuss this with the technician before proceeding.

We recommend that you hold your breath and close your eyes during facial spraying. We make this recommendation because most individuals would prefer not to breathe the mist. The FDA recommends that you use Nose filters, eye protection, lip protection, and protective undergarments. These are available upon request. The solutions aren’t considered harmful in the minimal amounts that may be inhaled in a normal spray tanning session. The bronzing effect is a result of a coloring additive in the solution that will remain on the skin until you shower. When you bathe, the initial bronzer will wash off leaving your skin with a natural looking tan.

If you are pregnant consult with your physician prior to tanning with any solution containing DHA

This process has been explained to me and I hereby agree to allow Glow Girl Elite, to apply the spray tan solution to my skin. I have been given adequate instructions for the proper use of the sunless application, understands the risks involved, and use it at my own risk. I agree to hold Glow Girl Elite/ and its employees harmless of any and all medical complications that may arise. I have been advised to discontinue use if any reaction occurs.

I hereby agree to release Glow Girl Elite owners, spray technicians, contractors and manufacturers from any or all damages that I might incur due to the use of Glow Girl Elite services and products.

I, the undersigned understand and agree to comply with all instructions. I have been properly instructed prior to my spray tan session. I am using these services at my own risk. I hereby authorize and direct Glow Girl Elite to perform such tanning procedures as may be deemed necessary or advisable, and I have provided them with the correct information required.

I acknowledge that the results of spray tanning do vary and that no guarantees of specific results are offered or implied. By signing this waiver Glow Girl Elite, and their employees/contractors are not held liable for any injury to persons or property and hold them harmless from any liability involved in the use of the tanning process.

I release and discharge Glow Girl Elite from all manners of actions, judgments, sums of money and demands whatsoever in law, in regards to spray tanning. I have been advised that the wear of spray tanning depends upon my skins age, texture and absorbency ability and the after care that is given. I affirm that I have been advised of the spray procedures and that the products being used are FDA approved and give my permission to proceed with the spray application. I have been advised to discontinue use if any reaction occurs. I am not allergic to any dyes, inks or cosmetics to my knowledge, and if I am I will discuss these concerns with my doctor and my spray technician before I receive a spray tan.

For Those Choosing Our Rapid Tan:

You are responsible and are in control for the outcome of how light or dark you would like your tan to be. We are not responsible for the outcome and have no control over the light or darkness of your tanning results.

All information provided is confidential information only for the purpose of Glow Girl Elite and will not be shared or made public.

We reserve the right to refuse service to anyone.

I acknowledge that I have read and understand the information provided.

I Agree
  

Ingredients: Our product is made with high Quality ingredients. If concerned about the ingredients, please ask your spray tan artist to see the list of ingredients.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
Tenth Participant's Signature*
Participant'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*
Check to be added to our e-mail list for client discounts.
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(s) or court-appointed legal guardian(s) must be present for any/all spray tan services provided for anyone under the age of 18.


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
What tan are you purchasing today?*
For those choosing the Rapid Tan (2 - 6) please select what result you want?*
Have you received a spray tan or applied a self tanner (lotion) before?*
No
Yes

List any known allergies or skin sensitivities: *
Any related to spray tans or sunless tanning products with Dihydroxyacetone (DHA)? Or Have you ever had a adverse reaction to any sunless tanning products?*
No
Yes

Those whom have allergies are asked to look at the ingredients list of the spray tan to insure that there is no cause of concern before proceeding with the spray tan process. There may be some people who are allergic to the base ingredients in the spray solution which may result in hives or a skin rash. If this occurs, shower and discontinue use. If severe reaction, contact a physician.

Do you have any skin conditions?*
No
Yes

If yes, please list:
Do you have any respiratory illnesses?*
No
Yes
Please select your skin type: (may choose more than one)
Type 1 Never tans/Always burns
Type 2 Light tan/Burns easily
Type 3 Does tan/Can burn
Type 4 Easily tans/Rarely burns
Type 5 Dark tan/Rarely burns
Type 6 Dark tan/Never burns
Very Oily
Oily
Normal
Dry
Very Dry
I have read and followed the pre-tan instructions? Please understand that not following proper pre tan prep can negatively effect your tan result.*
No
Yes
Do you understand that acne products and other skin care products might make the spray tan look uneven? *
I Understand
Do you understand that Freckles, Age Spots, Scars, And Sunspots may darken with spray tan services? *
I Understand
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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