Bronzed by Britt Spray Tanning Consent Form

Bronzed by Britt Spray Tanning

Consent Form
Please only fill this form out ONCE (for your first appointment) OR if your information has changed.
If you are under the age of 18, please have a parent or guardian sign at the bottom of this form. Thank you!
Name

First NameLast Name
Date

DayMonthYear
Date
Phone Number

Area CodePhone Number
Email
example@example.com
How did you hear about Bronzed by Britt?
I understand that I should shave and/or wax the day prior to my spray tan.

YesNo
I understand that I should not wear deodorant, moisturizers or makeup the day of my appointment.

YesNo
I understand that I should wear loose, dark clothing immediately after my spray tan and until my first rinse.

YesNo
I understand that I should not participate in any activities that will cause perspiration until after my first rinse.

YesNo
Do you suffer from any respiratory problems?

YesNo
If yes, please specify:
Are you pregnant or breastfeeding?

YesNo
Do you have any skin conditions?

YesNo
If yes, please specify:
Do you have any known allergies?

YesNo
If yes, please specify:
Is the tan for a special occasion?

YesNo
If yes, please specify:
Have you had a spray tan or used tanning products before?

YesNo
What level of tan would you like to achieve?

Light glowNatural glowDark glow
How well do you tan in the sun?

Not at all, only burnGradual tan, sometimes burnEasily tan, rarely burnAlways tan, never burn
TRAVEL: I understand that if I live between 10-15 miles from Brittney's house in Prairie Village, I will be charged a $10 travel fee and if I live between 15-20 miles from Brittney's house in Prairie Village, I will be charged a $15 travel fee. I also understand that Brittney no longer travels 20+ miles from Prairie Village for one appointment. A group of at least four must be scheduled in order for Brittney to travel that distance (effective 2/1/24).

YesNo
Do you have any questions?
Please read the following before signing this form:
- 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.
- 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 (e.g. wedding/special occasion).
- Please consult your physician prior to your spray tan if you are pregnant or breastfeeding.
- This product does not contain sunscreen and does not protect against sunburn.
- There is a 12 hour cancellation policy in place, which will result in a 50% cancellation fee. No shows will be charged 100% of the service price.
Please read the following PREP guidelines prior to your appointment:

WAX + SHAVE: waxing should be completed at least 48 hours prior to your appointment and shaving should be completed with a razor that lacks a moisture strip.

EXFOLIATE: use an exfoliating mitt to exfoliate your skin at least 24 hours prior to your appointment.

SPA TREATMENTS: tanning should always be the last beauty treatment completed.

NO BARRIERS: forego any lotions, oils, deodorant, perfumes, or makeup the day of your appointment. All of these can create a barrier on the skin that the tan will not adhere to.

CLOTHING: wear dark, loose clothing with open-toed sandals.

MANI + PEDI: complete mani and pedis the day prior.

SHOWERING: showering should be completed AT LEAST four hours prior to tanning to allow your pH levels to neutralize. If you must shower within four hours, run cold water at the end. Any bar soaps/cream-based body washes (dove specifically) are known to leave a residue on the skin and create a barrier that the tan cannot penetrate through and may leave streaks. A gel-based body wash is best.

SKINCARE: I recommend discontinuing the use of retinol and AHAs/BHAs days prior to your appointment, as these products can impact the color on your face.
Disclaimer: I declare that I have read, understood and answered the questions to the best of my knowledge. I have no known medical conditions or allergies that may affect or induce a harmful reaction from a sunless tanning treatment. I have been provided with spray tan prep instructions, which I have read and understand completely.

I hereby consent to receiving a spray tan by Bronzed by Britt. I agree to waive all liabilities towards Bronzed by Britt, LLC for any injury or damages (including adverse skin reactions) incurred due to any misrepresentation of my health history.
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Parent/Guardian Signature (if under 18)

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Bronzed by Britt Spray Tanning

Please only fill this form out ONCE (for your first appointment) OR if your information has changed.