BohoTanz Consent form
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  • Format: (000) 000-0000.
  • Are you at least 18 years of age? If No, you must have a parent or legal guardian give consent by completing and signing this form.*
  • Do you have any allergies? If yes, please list below.
  • Have you ever had spray tan or used a sunless tanner before?
  • If yes, have you ever had any type of reaction and/or allergy to Dihydroxyacetone (DHA)?
  • Do you have any skin condition(s) such as psoriasis/eczema/acne? If yes, please list below
  • Are you or could you be pregnant? If Yes, you must have written permission from your physician to receive a spray tan.
  • Are you currently taking any medications? Some medications that affect the skin can also affect the results of your spray tan (ex: birth control pills, hormone therapy, thyroid, chemotherapy, topical & oral acne medications) If YES, please list below. **If you are currently taking an antibiotic or have taken an antibiotic 2 weeks prior to spray tan, I will not be able to spray tan you.
  • Do you have any type of respiratory condition(s)? ex: emphysema, long covid, asthma, etc. If yes, please list and describe below
  • Do you wear contact lenses? If Yes, please remove them before your spray tan.
  • I hereby give permission to Boho Tanz, LLC to use photographs and/or video of me taken while wearing my "spray tan", to use on social media publications for Boho Tanz, LLC advertising purposes only. This includes and is limited only to pictures I voluntarily give to Boho Tanz, LLC and/or pictures that I post publicly on social media*

  • Initial (parent/legal guardian if not 18yrs old) above stating that you were given written (via text/email) PRE/POST tan care instructions and acknowledge BOHO TANZ, LLC is not responsible if proper pre/post care instructions are not followed.

    Please read, understand and sign the following: DHA is listed in the Food, Drug and Cosmetic Act (FD&C Act) as a color additive for use in imparting color to the human body. However, its use in cosmetics-including sunless "tanning" products-is restricted to external application. According to CFR, "externally applied" cosmetics are thos "applied only to external parts of the body and not to the lips or any body surface covered by mucous membranes". (21 CFR 70.3v)

    DHA reacts with the skin's amino acids resulting in a "tan" similar looking to that of the sun. The darker you can tan naturally, the darker you can tan with a spray tan. Like most cosmetics, avoid exposure to the eyes, lips, and other parts of body covered with a mucous membrane. This should be accomplished by following the staff's breathing instructions as to avoid inhaling or ingesting the sunless product and by applying a barrier cream. Your spray tan should last 7-10 days depending on your skin type and how well you take care of your sunless tan. It's very important to keep your skin moisturized after your spray tan, avoiding long baths or showers and hot tubs. Salt water exposure or a chlorinated pool can also shorten your spray tan.

    Be advised there may be a small percentage of individuals whose skin does not react favorably to spray tanning. Some medications such as birth control pills, hormone replacement medications, or antibiotics may alter your tan. Please consult with your technician if you have any questions 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 BOHO TANZ, LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that BOHO TANZ, LLC 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, spray tan staff, and other spray tan clients and their families. 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.

    *do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19

    *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 BOHO TANZ, LLC 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 BOHO TANZ, LLC, or that may otherwise arise in any way in connection with any services received from BOHO TANZ, LLC.

    I understand that this release discharges BOHO TANZ, LLC from any liability or claim that I, my heirs, or any personal representatives may have against BOHO TANZ, LLC, 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 BOHO TANZ, LLC. This liability waiver and release extends to the san together with all owners, partners, and employees.

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