CONSENT FORM

Please read, understand, and sign the following: Airbrush tanning is occomplished by application of a solution containing the octive ingredient: DHA (Dihydroxyacetone DHA is generally considered to be safe and has been FDA approved ONLY if you follow guidelines to protect mucous membrones. The FDA advises asking the following questions when considering the application of DHA products by spraying: 1. Are you protected from exposure in the entire area of the eyes, in addition to the eyes themselves? 2. Are you protected from exposure on the lips and all parts of the body covered by mucous membrane? 3. Are you protected from internal exposure caused by inhaling or ingesting the product? If the answer to any of these questions is "no," you are not protected from the unapproved use of DHA. You should request measures to protect your eyes and mucous membranes and prevent inholation.

You will be guided to the airbrush tanning area where you will dress down to your comfort level. Disposable undergarments are upon request. Understand that the solutions bronzer will wash out of most clothing. It is advised to wash any clothing worn as as possible ofter your session It is recommended to wear dark, loose fitting cotton clothing after your appointment.

Your technician will airbrush you. This process will take approximately ten to fifteen minutes. After application, your skin will be and powdered before you dress. Do not bathe or sweat excessively for the recommended amount of processing time. The solution may give you an immediate bronzing effect. This bronzing effect is a result of a temporary coloring additive in the solution that will on the skin until your first rinse. During your first rinse, the coloring will come off to reveal your sunless ton produced by DHA

All people, oll skin, is different: All ingredients used in this service are intended for cosmetic use and generally regarded as safe. There are, however, occasions where individuals may be allergia to one or more ingredients in the airbrush solution. Please request a copy of the ingredients list if you have any known allergies and discuss alternative options with your technician.

Be advised there is a small percentage of people whose skin may not react favorably to airbrush tanning For this reason, we do NOT advise being sprayed for the first time when your appearance is critical: (Wedding, Photo Shoot, Prom, etc.) Please schedule a at least four weeks before your event, for best results.

Pregnant or nursing women should consult their physician before coming in especially when in your first trimester. Airbrush tanning is not normally contraindicated when nose filters are used, but each pregnancy is different. Your medical care provider may prefer a more cautious approach based specific needs and health concerns.

We reserve the right to refuse to spray anyone who has a sunburn. It is not advised to spray tan over a burn as it will result in peeling that can last 5 to 10 days. You, the client, assume all responsibility if your ton reacts from any peeling skin ofter sun exposure or procedures such as losers or chemical peels without informing your technician prior.

This product does not contain a sunscreen and does not protect against sunburn. Repeated exposure of unprotected skin to UV increase the risk of skin aging. skin cancer, and other harmful effects to the skin even if you do not burn.

Kylee Hallett (Tanned By Ky) nor Edynne Treece will not be responsible for damaged personal items. The airbrush tanning process has been explained to me and Thereby agree to allow Kylee Hallett (Tanned By Ky) or Edynne Treece to apply spray tan solution to my skin using the airbrush tanning process. To my knowledge, have no medical condition or allergy which would prectude me from having this procedure done. I agree to hold Kylee Hallett (Tanned By Ky) and/or Edynne Treece harmless of any medical complications that may arise and have been advised to discontinue use if any reaction occurs. I understand that the results of airbrush tanning do vary and that no guarantees of specific results are offered or implied. I hereby release this establishment, as well as the airbrush technician, and hold them harmless from any liability involved in the use of or arising during the tanning process. I also agree to first contact Kylee Hallett (Tanned By Ky) and/or Edynne Treece if for any reason I am dissatisfied with my results. I have read and completely understand the conditions of this information form.

Client Signature

Client Name (Printed)

Date

if client is under the age of 18. parent/guardian signature is required for services.

Parent Signature

Parent Name (Printed)

Date