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Client Consultation Form


non-mobile appointments booked at www.glowtrottersspraytanning.com will take place at the Glowtrotter Home Location. Your spray tan tech will send you a welcome message. See you soon!

Please fill out this form on your first appointment.

Your answers will better help us to meet your needs and ensure that you have a happy and satisfying experience. 

I acknowledge that side effects can occur and fully accept the risk. I understand that my Technician will take every precaution to minimize or eliminate negative reactions as much as possible. I will consult my Technician first should I have any complications after receiving my treatment. I have been given the opportunity to ask questions, and any questions have been answered to my satisfaction.

I Agree

I have read the information and recorded my medical history accurately with all pertinent information. For future services, I agree to inform my technician of any changes in my medical status and/or the above information. I understand Spray Tan services are not to be considered medical treatment, and as such, the technician cannot prescribe treatment of pharmaceuticals.

I Agree

I agree that my Technician may determine that it is unsafe to continue a session due to health-related concerns. In this event, you may be required to provide a medical release form from your physician prior to continuing treatment.

I Agree

I confirm that the information given above is correct and that, to my knowledge, I have not withheld any information that may be deemed relevant to the treatment I am receiving. I acknowledge that there are potential risks and complications to receiving any procedure, and I take responsibility for any side effects should they occur. I understand that I am doing this spray tan treatment at my own risk as I have read all of the instructions about my Spray Tan Treatment and understand completely.

I certify that I have read and fully understand the above paragraphs, that I have had sufficient opportunity for discussion and to ask questions, and that I hereby consent to the procedure described above. 

 

PRE & POST TREATMENT ADVICE & HOW TO MAINTAIN YOUR TAN LONGER

For best results, please follow the below procedures prior to your tanning treatment.

PRIOR TO TREATMENT

• Skin should be free from self-tan, perfume, deodorant, and aromatherapy oils.

• Waxing or shaving should be completed at least 24 hours prior to the treatment.

• The evening or morning before your treatment, exfoliate your entire body paying attention to your elbows, knees, and the backs of the heels, also the hands.

• Avoid using other self-tanning products at least one week before treatment.

• Avoid waxing or shaving at least 24 hours before treatment, as open pores collect the tanning solution.

• Use plenty of moisturizers the day before coming in for your tan to make sure the skin is nicely hydrated.

ON THE DAY OF YOUR TAN

• Shower, but do not apply moisturizers or oils.

• Wear loose dark clothing for your tan, and some loose-fitting shoes, open-toe sandals, or flip-flops are preferable so as not to disturb the tan.

• Avoid wearing aftershave, deodorant, or any other products on the day of your tan, as these can affect the treatment, so make sure you shower before you come to the salon for your tan.

POST-TREATMENT ADVICE

• Wear loose dark clothing after your tan to minimize rubbing against your skin.

• Do not participate in any activity which may cause perspiration for at least 12 hours after treatment

• The guide color can be left on overnight, although it may transfer onto bed linen.

• Keep skin completely dry; avoid water contact.

• Shower rather than a bath; when showering, use mild soap.

• Your tan will not give you protection from the sun, therefore use your usual sunscreen 

MAINTAINING YOUR TAN FOR LONGER

• Use body lotion each day after the tan has developed to maintain the color

• After showering, pat the skin dry rather than rubbing

• Avoid swimming pools, as chlorine can bleach the tan, and salt water, as these can reduce your tan.

• When shaving, use an electric razor or a fresh triple or quad-blade razor with new blades and plenty of lubrication to minimize spray tan removal.

PLEASE NOTE

• Spray Tanning is unsuitable for people with respiratory problems or within the first three months of pregnancy.

• Anyone under the age of 16 must have their parent’s written consent prior to the tan.

• Conditions that prevent tanning treatments are:

• Psoriasis

• Dermatitis

• Hypersensitive Skin

• Severe Eczema 

Please discuss your needs or any concerns or questions with your technician.

Today's date: April 24, 2025



First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
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 receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
We understand that sometimes schedules change and therefore requests 24 hours notice when canceling your appointment. A credit card is required to hold your appointment. Appointments canceled within 24 hours or for which participants are a "No-Show" for will incur a charge of 50% of the service amount. Your deposit is non-refundable if you cancel your appointment within 24 hours of your scheduled appointment. Do you acknowledge and agree to our cancellation policy?*
Yes
Do you have a peanut allergy?*
No
Yes
Have you ever been professionally sprayed with a spray tanning solution?*
No
Yes
If yes, please select:
Dolce
Fake Bake
Mine
Norvell
Other
Sienna X
Sjolie
St Tropez
Do you have allergies related to Dihydroxyacetone (DHA)?*
No
Yes
Do you have any respiratory illness that may be of concern?*
No
Yes
Did you exfoliate your skin before your visit?*
No
Yes
Please do not use DOVE Soap, or anything "renewing," "regenerating," "anti-aging," or "anti-acne"! Sulfate-free and natural products are best. Do you have any lotions/creams, make up or deodorant on now?*
No
Yes
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you ever had any skin reactions from a self-tanner?*
No
Yes

If yes, please describe:
Contraindications:
Cuts/Abrasions
Breastfeeding
Pregnancy
Recent Body Piercings or Tattoos
Pigmentation Disorders
Pigmentation Patches (clients discretion)
Respiratory problems
Recent Cosmetic Procedures
Botox, Fillers
Chemotherapy
Radiotherapy
Acne
Vitiligo
Skin disorders (Eczema, Dermatitis, Psoriasis)
Recent Heat treatment
How do you find your skin?
Normal
Dry
Oily
Combination
Sensitive/Breakout
Acne
Very sensitive
Mature
Have you had any waxing or shaved within the last 24 hours as this may affect your tan?*
No
Yes
Do you wear contact lenses? contact lenses should be removed before spraying*
No
Yes
Are you currently breastfeeding or pregnant?*
No
Yes
Within the last year, have you been under a dermatologist or other physician's care?*
No
Yes
When exposed to sun? Please check below:
Always burn never tan
Burn but still can achieve a tan
Tan easily & rarely burn
Do you have any skin conditions that may be of concern?*
No
Yes

If yes, please describe:
Have you recently received any of the following treatment?
Microdermabrasion
Chemical Peel
Micro Needling
Facial Waxing
Laser resurfacing

If yes please specify the date you received your last treatment:
PHOTO RELEASE CONSENT & INSTAGRAM TAGGING*
No
Yes

PHOTO RELEASE CONSENT & INSTAGRAM TAGGING

I would like your permission to use these photos for advertising. For example: Portfolios, Online, LinkedIn, Nextdoor, Bing Ads, Google Ads and Print ads, etc. Your consent is necessary regarding this. Please indicate by checking yes or no and follow with your signature if you would like your photos used in advertising. We also like to tag our clients in photos used on our Instagram, TikTok and Facebook profile!
How Did You Hear About GlowTrotters? *
GOOGLE
A FRIEND REFERRED ME
MODERN AESTHETICS
FACEBOOK
INSTAGRAM
LINKEDIN
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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