Spray Tanning Consent Form

Spray Tanning Consent Form
Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Gender
Were you referred by an individual to our salon? If yes, please indicate in the field.
Where did you learn about our Tanning Salon?

Other
Is this your first spray tanning?
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?
Do you have allergies? If yes, please indicate them in the field.
Did you undergo any surgery within the last 6 months?
Are you pregnant or breastfeeding? (Female only)
Are you currently taking any medications?
What is your desired skin color for tanning?
Consent Agreement
I affirm that I'm fit and certified to go on with my requested procedure by Sunless Junkie.

I confirm that I do not possess any medical condition to the best of my knowledge that prohibits me to complete the procedure.

I am willing to remove any valuable accessories to avoid being discolored or damaged by the spray tan procedure.

Sunless Junkie is free from any legal claims.
Client's Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Consent Agreement