Spray Tanning Consent Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Date

Gender

Were you referred by an individual to our salon? If yes, please indicate in the field.

Where did you learn about our Tanning Salon?

Is this your first spray tanning?

If no, then please indicate when did you last perform spray tanning?

E.g. two months ago, a year ago, or exact date

What is your skin type?

Do you have allergies? If yes, please indicate them in the field.

Did you undergo any surgery within the last 6 months?

Are you pregnant or breastfeeding? (Female only)

Are you currently taking any medications?

What is your desired skin color for tanning?

I affirm that I'm fit and certified to go on with my requested procedure by the ABC Tanning Salon.

I confirm that I do not possess any medical condition to the best of my knowledge that prohibits me to complete the procedure.

I agree that I will wear protective eyewear or goggles during the tanning procedure.

I am willing to remove any valuable accessories to avoid being discolored or damaged by the tanning device

ABC Tanning Salon is free from any legal claims for I was informed and reminded of the risk of UV overexposure is harmful to my skin, eye, and health overall.

Client's Signature

Date Signed

Date

Salon Attendant

First NameLast Name

Salon Attendant Signature

Date Signed

Date

Salon Manager

First NameLast Name

Salon Manager Signature

Date Signed

Date