Golden Standard Spray Tanning Consent Form

Name*

First NameLast Name

Phone Number*

Email

example@example.com

Are you 18 or older?*

YesNo (a guardian consent form must also be signed)

How did you hear about Golden Standard spray tans? If referred by a friend please list their name. *

Is the tan for a special occasion?*

YesNo

Have you had a spray tan before?*

YesNo

What was your experience?

What level tan are you hoping to achieve? *

1= Subtle glow 2= Light 3= Medium 4= Dark 5= Extra Dark

Are you pregnant or breastfeeding? (If yes, please consult a physician before spray tanning)*

YesNo

Do you have any skin or pigmentation disorders?*

YesNo

Do you have any known allergies?*

YesNo

If yes please specify:

Any questions?

What to expect: You will enter a private room in my home studio where you will remove your clothing to your comfort level. Disposable undergarments are available upon request. Where you have clothing, you will have tan lines. It is advised to wash the undergarment or clothing worn as soon as possible after your session. Nudity is accepted for all women, men are asked to wear bottoms. It is recommended to wear loose fitting clothing after your appointment. By signing, you understand that there is a chance that the solution may transfer to your clothing and stain it.

Next, you will be sprayed. This process will take approximately fifteen minutes. After spraying, your skin will be dried and powdered before you dress.You will be provided aftercare instructions by your spray tan artist. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a temporary coloring additive in the solution that will remain on the skin until your tan develops. When you shower, the coloring will come off to reveal your sunless DHA tan.

All people, all skin, is different.

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/prom) Please contact the spray tan technician to schedule a trial session before your event, for best results.

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 request a copy of the ingredients list if you have any known allergies.

To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I take sole responsibility of any reaction I may have, staining of clothing and/or personal belongings. I understand that the results of spray tanning do vary and that no guarantees of specific results are offered. I agree to first contact Golden Standard Spray Tans if for any reason I am dissatisfied with my results.

I have read and completely understand this consent form. (please advise your technician if you have any questions)

Signature*

Date*

Date

MODEL RELEASE: I give Golden Standard spray tans permission to use my name and/or image which may be embodied in any pictures, videorecordings, digital images, and the like,taken, or made on behalf of Golden Standard spray tans activities. I agree that Golden Standard spray tans have complete ownership of such pictures, etc., and may use them for advertisement or educational materials. I acknowledge that I will not receive any compensation for the use of such pictures, etc., and hereby release the Golden Standard Spray Tans from any and all claims which arise out of or are in any way connected with such use.*

I agreeI do NOT agree and my photos/name should not be used for any purpose

Consent Form

Location