New Client Consent Form
Name
First Name
Last Name
City
City
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
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Month
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Day
Year
MM-DD-YYYY
Where did you learn about GLOW by Aimee Jo?
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Referral
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Please let us know who referred you, if applicable
1) Is this your first spray tan?
Yes
No
2) Do you have any allergies related to Dihydroxyacetone (DHA)?
Yes
No
3) Do you have any respiratory illnesses?
Yes
No
4) Are you pregnant or breastfeeding?
Yes
No
5) Are you diabetic?
Yes
No
*If you answered YES to 2-5, do you have permission from a physician to tan?
Yes
No
Consent Agreement
Healthy, hydrated skin holds the tan longer and achieves color faster. Please follow the pre and post-tanning steps.
For optimal results, wait 6-8 hours for Classic Custom color OR 2-5 hours for Rapid rinse before showering. Full color typically takes 12hrs to develop.
GLOW by Aimee Jo aims to provide a smooth & even tan. However, due to various factors beyond their control (skin conditions, medications, aftercare, etc.), optimal results may not be guaranteed. The tan is temporary; any differences will disappear as new skin resurfaces within 7-10 days.
BRIDES:
A trial tan is recommended. You agree that you understand the risk of color transfer onto the wedding dress & agree that the airbrush technician is not responsible for any product transfer or cleaning costs.
This product does not contain sunscreen and does not protect against sunburn. It is recommended to use sunscreen outdoors to reduce the risk of skin aging, skin cancer, and other harmful effects.
The solution contains Cosmetic Bronzers that may transfer to clothing or fabrics. While they should wash out of most ordinary fabrics, they may stain silk, lycra, spandex, nylon, wool, or leather. GLOW by Aimee Jo is not responsible for fabric damage.
The solution typically doesn't affect the hair, but some porous, coarse, or processed hair types may be affected if left uncovered. Use shower caps as recommended.
It is recommended to hold your breath during facial spraying. The solution inhaled during a normal spray tanning session is minimal and not considered harmful. You have the option to skip facial spraying.
The product contains no known toxins or allergens. However, repeated exposure or inhalation of airborne matter may cause irritation or discomfort. It is recommended to use the following products:
Protective Undergarments
Nose Filters
Lip Balm
Protective Eye Shields
If you've had adverse effects using self-tanning products or moisturizers in the past, you may experience similar effects with the airbrush system. Discuss this with your technician before proceeding.
If you have a history of asthma, respiratory conditions, or medical concerns aggravated by the Airbrush system or solution, consult a physician before proceeding. Inform your tanning technician of any past allergic reactions to DHA products, latex, or other medical concerns. GLOW by Aimee Jo & her employees are not liable for any reactions to the solution.
I grant GLOW by Aimee Jo permission to use my photos for legal purposes, including publicity, copyright, marketing, illustration, advertising & web content. No royalty, fee, or compensation shall become payable to me by reason of such use.
MOBILE SERVICES
: Solution transfer onto floors, walls, items, etc., is possible. The technician and company are not responsible for repairs or damages.
GLOW by Aimee Jo and her employees reserve the right to refuse service without reason. No refunds are provided after services have been rendered. This agreement applies to all future services.
Male clients:
Are required to wear underwear during their session.
By signing below, I acknowledge that I have read and understood this form and agree to use the service at my own risk. I confirm that I am 18 years of age or older. I authorize the employees to perform necessary or advisable tanning procedures and provide them with the required information. I am not aware of any medical condition, allergies, or reasons that would prohibit me from sunless tanning. I understand that the results of airbrush tanning may vary, and no guarantees of specific results are offered or implied. I hereby relieve this establishment, as well as the airbrush technician, owner, operator and manufacturers from any damages that I may incur and hold them harmless, from any liability involved in the use of the tanning process. The salon and their agents or employees are not liable for any injury to person or property or the loss or theft of any personal property.
Client's Signature
Date Signed
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