That Spray Tan Place's Consultation Form (NEW)

That Spray Tan Place Consultation Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState

Post Code
Date of Birth*

DayMonthYear
Date
What date is your spray tan appointment booked? *

DayMonthYear
Date
*This form is not your appointment booking. Please book your spray tan appointment via the online calendar at www.thatspraytanplace.com.au if you have not done this yet.
Contraindications
Signature*

Clear
Do you experience any of the following?*

Current Eczema / Psoriasis / Skin irritation / Visible Cuts or RashesPanic Attacks / Claustrophobia / Fear of Closing EyesRespiratory Disorder i.e. AsthmaNo, I don't have any of these
Are you currently undergoing laser hair removal?*

Yes, but I understand not to book an appointment whilst I have spray tan on my skin as my laser hair removal appointment will not go aheadNo, I'm not having laser hair removal treatment
Hormonal changes

Hormonal changes within your body can affect your spray tan's longevity or how light/dark the tan develops. By ticking yes to any of the below, you acknowledge your spray tan may be affected.
Are you taking any medication at the moment (the pill, hormone replacement therapy, anti-depressants, etc)?

Yes, I'm taking medicationNo, I'm not on any medication
Pregnancy

There has been no evidence to prove spray tanning (inhalation) is safe for pregnant women. For this reason, we insist that you wear a mask, goggles and underwear whilst being sprayed. That Spray Tan Place advises that you not have a spray tan if you are under three months pregnant. If you choose to go ahead with your spray tan and you are pregnant (under or over three months), by signing this form, you are going ahead with your spray tan appointment at your own risk.
Are you pregnant?*

YesNo
If yes, how many months pregnant are you?

Under three monthsOver three months
Are you breast-feeding?*

YesNo
Preparation

To avoid orange notes with your developed tan, please prep carefully (Prep and Care details on your confirmation email and the website). These instructions may be different to what you're used to.
Please DO NOT have a shower at least three hours prior to your appointment time (a raised skin pH (from water) could cause orange tones).*

I understand
Please exfoliate and shave the night before your appointment.*

I understand
Please DO NOT use soaps or products on the day of your appointment. Remove deodorant and makeup with a baby wipe before your appointment.*

I understand
NOTE: Deodorants will oxidise the bronzer, turning it bright green. Rexona, Mitchem will also completely block the spray tan, resulting in white marks. DO NOT wear these heavy deodorants on the day of your spray tan. Some products, especially soaps, gels, some moisturisers, etc, will act as a barrier on the skin. White marks appear where the soap/shampoo has not been washed off. This WILL affect your spray tan.
Have you had a spray tan before?*

YesNo
Have you used self-tan at home before?*

YesNo
Please let us know how dark you would like your tan i.e. very light, medium, dark.
Is this spray tan for a special occasion i.e. hen do, wedding, 21st, 50th, holiday, etc?
Sickness/Covid-19 - Salon Services Consent Form

I agree not to visit That Spray Tan Place if I have any symptoms of sickness, of any kind (COVID, Influenza (Flu), a cold).

I acknowledge that the information I will give below in this consent form is accurate and complete.

By signing below, I confirm that I understand and agree to all terms and statements in this form.
Signature*

Clear
By checking the boxes, you confirm that you agree with the following statements:*

I agree to adhere to the rules of the salon during my appointment in order to minimise the spread of viruses.I confirm that I have not been diagnosed with COVID-19/Influenza in last 14 days.I verify that I am not waiting for the laboratory test results for COVID-19/Influenza.I confirm I do not have sickness symptoms - cough, shortness of breath, high fever, muscle pain, body ache, nausea, loss of taste/smell, cold/flu-like symptoms.
Should be Empty:

That Spray Tan Place Consultation Form

*This form is not your appointment booking. Please book your spray tan appointment via the online calendar at www.thatspraytanplace.com.au if you have not done this yet.

Contraindications

Hormonal changes

Pregnancy

Preparation