Client Registration and Waiver Form

Name

Address

City

State

Zip

Phone

Format: (000) 000-0000.

Email

example@example.com

Sex

M/F

Age (required for service)

Do you have any skin issues? If yes, please list

Are there any areas of concern that we should be aware of?

Are you pregnant?

How did you hear about Cali Sun Kissed (please check all that apply)

Other

Neither our company or it's employees and/or agents will be liable for any injuries or skin reactions from the Airbrush Body Bronzing systems or skincare products to any persons during the use of such systems or skincare products at our facilities. No promises or guarantees have been made regarding the results from use of our systems or skincare products. We are not responsible for the loss or theft of any personal property, which each person is responsible for safe guarding.It is incumbent upon you to inform us of any known allergies or medical issues (including pregnancy It is recommended that pregnant women consult with their physician prior to being airbrushed. The FDA recommends that clients about to receive a spray tan wear protective eyewear and undergarments, as well as use nose filters and seal the lips with lip balm. People who are using Retin-A or Hydrocortisone should check with their physician before using the Airbrush Body Bronzing system. I have been informed of the pre and post care of the airbrush I am about to receive. All my questions have been adequately addressed. I have been honest in disclosing all known medical issues. I understand and waive my right to prosecute should there be any adverse reaction to my skin from the Airbrush Body Bronzing system. I take sole responsibility for any damage caused to clothing or other belongings that come in contact with the airbrush solution.

COVID-19 Liability Waiver I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Cali Sun Kissed has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Cali Sun Kissed can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families. I voluntarily seek services provided by Cali Sun Kissed and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. I attest that: I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. *I have not traveled internationally within the last 14 days. *I have not traveled to a highly impacted area within the United States of America in the last 14 days. *I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. *I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities. *I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I hereby release and agree to hold Cali Sun Kissed harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from. I understand that this release discharges Cali Sun Kissed from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Cali Sun Kissed. This liability waiver and release extends to the salon together with all owners, partners, and employees.

Signature

Date

Parental consent is required if you are under the age of 18.

Signature: (Parent or Legal Guardian)

Signature

Date