Name *

First Name

Last Name

Date

MM

DD

YYYY

Phone *

(###)

###

####

How Did You hear about us?

Select all that apply

Referral

Instagram

Facebook

Web

Other

Did you exfoliate 12-18 hours before your appointment? *

Yes

No

Did you shower in the past 4 hours? *

Ideally, showering is not recommended within 4 hours prior to spray tanning. It is recommended to use a wet cloth to remove any makeup, oils, etc. if necessary.

yes

no

are there any products on your skin? *

makeup, oils, lotions, deodorant, etc.

yes

no

do you plan on exercising in the next 24-48 hours? *

yes

no

are you over the age of 18? *

yes

no

do you have any allergies? *

yes

no

Are you beastfeeding/pregnant *

Spray tans are generally safe for pregnant and spray tanning women. However, we always recommend consulting with a doctor.

yes

no

do you have any skin conditions or diseases? *

yes

no

do you have any other health concerns? *

yes

no

Spray Tan Release Form *

Please read, understand and sign the following: • You will enter a private room where you will remove your clothing. This is up to you and your level of comfort. 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 ten to fifteen minutes. After spraying, your skin should be dry before putting your clothes back on and you should not bathe or sweat excessively for 12 hours. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a colouring additive in the solution that will remain on the skin until you are eventually tan. When you shower, the colouring will come off to reveal your actual tan beneath within the 24 hours to follow. • 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) • 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 have read and completely understand this consent form.