Please read, understand and sign the following.
• Spray tanning is accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is considered to be safe and has been FDA approved ONLY if you follow guildlines to protect mucous membranes. The FDA advises asking the following questions when
considering the application of DHA by spraying or misting:
· Are you protected from exposure in the entire area of the eyes, in addition to the eyes
· Are you protected from exposure on the lips and all parts of the body covered by mucous
· Are you protected from internal exposure caused by inhaling or ingesting the product?
If the answer to any of these questions is "no," you are not protected from the unapproved use of DHA. You should request measures to protect your eyes and mucous membranes and prevent inhalation.
• You will enter the area where you designate us to go where you will remove your clothing. This is up to you and your level of comfort. You should wear a dark swimsuit or underwear. 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. Long sleeves and sweatpants are ideal. You want to keep the skin covered. No robes post tan.
•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 6-8 hours. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a coloring additive in the solution that will remain on the skin until you are actually tan. When you shower, the coloring will come off to reveal your actual tan beneath.
• 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. We are not able to spray tan over sunburned/peeling skin.
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 have read and completely understand this consent form.
Overnight solution: Deionized Water, Aloe Barbadensis Leaf Extract, Dihydroxyacetone, Ethoxydiglycol, Cetearyl Isononanoate, Ceteareth-20, Cetearyl Alcohol, Glyceryl Stearate, Glycerin, Ceteareth-12, Cetyl Palmitate, Caramel, Walnut Extract, Polysorbate 20, Tocopherol Actetate(Vitamin E), Retinyl Palmitate(Vitamin A), Ascorbic Acid(Vitamin C)
Rapid solution: Deionized Water, Dihydroxyacetone, Cetearyl Isononanoate, Ceteareth-20, Cetearyl Alcohol, Glyceryl Stearate, Ceteareth-12, Glycerin, Cetyl Palmitate, Ethoxydiglycol, Caramel, Sorbitol, Polysorbate-20, DMDM Hydantoin, Ext Violet #2