Nash Tans Consent Form

Nash Tans Consent Form

Nash Tans Consent Form

ONLY FILL OUT FOR YOUR 1ST VISIT OR IF IT'S BEEN MORE THAN A YEAR SINCE YOUR LAST VISIT. Please complete all fields prior to your FIRST appointment
Name

First NameLast Name
FemaleMale
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
How did you hear about Nash Tans (name if referred)?*
Are you tanning for a special event?*
i.e. wedding, vacation, birthday, just because
Please list any skin issues if applicable
eczema, psoriasis, etc...
YesNo
Cool- skin has pink/red hue. I burn easily and rarely tanWarm-skin has a yellow/olive hue. I can tan very easilyNeutral-I'm balance between warm and cool. I sometimes burn but then it turns tan
LightLight/MediumMediumMedium/DarkDarkUnsure
May we share a photo on our social media? (i.e a picture you send, or tag)*
Drop your IG Handle, would love to follow you. Follow me @nashtans
YesNo
Please list any allergies*
Please list any medications*
- I understand that all waxing, facials, massage, or lash appointments should be done at least 24 hours prior to your spray tan. Manicure/pedicure should be at least 4 hours.*
  Your spray tan should be your last beauty stop
- I understand that if I have had a sunburn/sun damage in the past 60 days (even not visible) that this could affect the outcome of my spray tan *
  Please enter yes or no
- I understand that my skin should be free of lotion, deodorant, perfume, makeup prior to my appointment*
- I understand that I should wear dark, loose clothing to wear after my appointment until my recommended rinse time (no bra, no tight clothes, no tennis shoes) *
- I understand I should not do anything after my appointment until my rinse time that could cause sweating or getting wet (working out, sports practices, laundry, dishes, skin to skin contact, etc) *
- I understand the cosmetic bronzer color that is initially sprayed can transfer to clothes, seats cushions, sheets, lighter hair or extensions (it's a water soluble solution and should wash out with soap and water). There is no guarantee with any solution including sweat resistant that there can't be any transfer. *
- I understand for best results I should avoid bar soaps (especially Dove), products with mineral oil, micellar water, or fragrances, retinols. These products can prematurely fade my spray tan. *
- YesNo
- Signature*
  
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- Nash Tans is not be liable for any injuries or skin reactions from the custom spray tan solution. No promises or guarantees have been made regarding the results from use of our solutions or products especially if pre and post care is not followed. We are not responsible for the loss or theft of any personal property, which each person is responsible for safe guarding.
  
  It is incumbent upon you to inform us of any known allergies or medical issues (including pregnancy). It is recommended that pregnant women consult their physician prior to being sprayed. The FDA recommends the use of protective eye wear, as well as nose filters and lip balm. Those using Retin-A should check with their physician prior to appointment.
  
  I have been informed of pre/post care. All of my questions have been adequately addressed. I have been honest in disclosing all known medical issues. I understand and waive my rights to prosecute should there be any adverse reaction to my skin from the airbrush solution. I take sole responsibility for any damage caused to clothing or belongings that come in contact with the solution.
- Date
  
  MonthDayYear
  Date
- Parent Signature if under 16 years old
  
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- Should be Empty: