Spray Tanning Consent Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Date

Gender

MaleFemale

Were you referred by an individual to our salon? If yes, please indicate in the field.

Where did you learn about Shore Thing Tans?

Is this your first spray tanning?

YesNo

If no, then please indicate when did you last perform spray tanning?

E.g. two months ago, a year ago, or exact date

What is your skin type?

NormalDryOilySensitive

Do you have allergies? If yes, please indicate them in the field.

Did you undergo any surgery within the last 6 months?

YesNo

Are you pregnant or breastfeeding? (Female only)

YesNo

Are you currently taking any medications?

YesNo

What is your desired skin color for tanning?

Please read this agreement in its entirety before signing.

Spray Tanning by use of DHA (darkening agent) is generally considered to be safe and has been FDA approved ONLY if you follow guide lines to protect mucous membranes. You may request measures to protect your eyes and mucous membranes and prevent inhalation. You will remove your clothing up to your level of comfort. Where you have clothing, you will have tan lines. Spa undergarments available upon request. The solution will wash out of most clothing. Nudity is accepted for all women, men are asked to wear bottoms. It is best to wear dark loose fitting cotton clothing to your appointment. It is advised to wash the undergarment or clothing worn as soon as possible after your session. By signing, you understand that there is a chance that the solution may transfer to your clothing and stain it. You will be provided aftercare instructions by your spray tan artist.

All people, all skin, is 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 discuss any allergies with your technician.

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 schedule a trial session 30 days before your event, for best results.

•Pregnant or nursing women may consult their physician, and obtain a written release before tanning. Spray tanning is not normally contraindicated, when a mask or nose filters are used as per FDA recommendation. But each pregnancy is different and your medical care provider may prefer a more cautious approach based on your specific needs and health concerns. Out of an abundance of caution, we recommend not spray tanning in the 1st trimester.

• 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.

*Please be sure to tell your spray tan artist if you are on any medications or have a history of dizziness/fainting/migraines.

If you need to cancel or reschedule your appointment, please do so at least 24 hours before your appointment. Same-Day Cancellations will be charged a 50% fee to the card on file.

For Mobile Appointments only: We will set up in your location. We bring a tent to spray you in and clean up after, but there's always the risk of overspray. By signing below, you assume this risk & can not claim damages against Shore Thing Tans.

For Studio Appts only: We are set up in my home and the address will be given by text message the day before your appointment.

Client's Signature

Date Signed

Date

New Client Form

Consent Agreement