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La Di Da Glow Studio & Jewelry Lounge

Spray Tan Waiver & Client Consent Form

I understand and agree to the following:

  • The tanning solution used is FDA-approved for external cosmetic use.
  • I am responsible for following all pre- and post-tan care instructions provided.
  • Results vary depending on skin type, preparation, and maintenance.
  • Temporary bronzers may transfer to clothing or sheets.
  • I release La Di Da Glow Studio & Jewelry Lounge, its technicians, and affiliates from any liability for allergic reactions, staining, or other results that may occur due to tanning.



Aftercare Acknowledgment

I acknowledge that for best results I should:

  • Arrive to my appointment with clean, exfoliated skin.
  • Avoid showering, sweating, or swimming until the recommended rinse time.
  • Moisturize regularly to prolong the tan and ensure an even fade.



First Client's Name
First Name*
Last Name*
Phone*
First Client's Age Acknowledgment*
First Client's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Client's Signature*
Second Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Third Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Fourth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Fifth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Sixth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Seventh Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Eighth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Ninth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Tenth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Health & Safety | Please answer the following:
Are you pregnant or nursing?*
No
Yes
Do you have any allergies or skin sensitivities?*
No
Yes
If yes, please list:
Do you have asthma or other respiratory conditions?*
No
Yes
Have you recently had any skin treatments (laser, waxing, peels)?*
No
Yes
If yes, please describe and include dates:
Photo & Social Media Consent | Optional – please select one:*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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