Spray Tanning Consultation/ Consent Form

Spray Tanning Consultation/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
MaleFemale
Were you referred by anyone? If yes, please indicate in the field.
FacebookInstagramGoogle SearchInternet AdsOther
YesNo
If no, then please indicate when did you last perform spray tanning?
E.g. two months ago, a year ago, or exact date
YesNo
If Yes, Please explain
NormalDryOilySensitiveCombination
YesNo
YesNo
Do you have allergies? If yes, please indicate them in the field.
YesNo
YesNo
YesNo
Skin burns very easily and doesn't tanSkin will usally burn in sun and has difficult tanningSkin will sometimes burn and gradually tanSkin will tan easily and rarely burnSkin will tan with ease and never burn
"Light" GlowNatural TanTropical Tan
Consent Agreement
I here by consent to receiving a sunless spray tan by The Travelling Tanner.

To my knowledge i have no medical conditions or allergy, which would preclude me from having this treatment done.

I agree to hold The Travelling Tanner harmless of any and all medical complications that may arise.

Consult a physician if a reaction occurs.

I have read and understood this conset form.
Client's Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Spray Tanning Consultation/Consent Form