TAN BUM TAMPA

Spray Tan Consultation & Consent Form

Full Name*

Date of Birth*

Date

Contact Number*

Do you have any allergies?*

NoOther

Have you ever used a self-tanner or had a professional tan applied? If Yes, Please state the brand/type (if known):

If Yes, Please specify

4. Have you ever had any skin reactions from a self-tanner/professional tan? If yes, please specify:*

5. Do you have any skin conditions that may be of concern?

If Yes, Please specify

Are you (or possibly may be) pregnant? If yes, please seek medical permission before your appointment.

What is your skin tone? (Your skin tone is the natural color of your complexion. To determine yours, focus on the area of your face near the jawline and/or color of veins on your wrist to identify your undertone:

What is your undertone?*

Select One*

FairLightMediumDeep

Let us know what tone you`d like to achieve! (Fair-Deep) or put "not sure"*

-I assume all responsibility for any kind of allergic reaction I might have to this formula.
-I understand that I am doing this sunless tanning procedure at my own risk
For pregnant or nursing mothers: By signing below, I agree that I have consulted and received permission from my physician to receive airbrush tanning.
Minors under the age of 18 must have written parental consent to receive airbrush tanning.

-I understand that I cannot have a spray tan performed on me if I have a sun burn or my skin is peeling from beauty products such as Retinol, etc.
-I understand that the development and lifetime of my airbrush tan is largely dependent on my compliance to the suggested preparations and post-tan aftercare tips and have had an opportunity to ask Tan Bum Tampa any questions that I may have.

-I understand that Tan Bum Tampa, LLC is not responsible for any adverse reactions (blotchiness, streaking, etc.) or premature fading if I do not follow these recommendations.

All the information I have provided is true and correct to the best of my knowledge.

By my signature below I acknowledge that I have read and fully understand this agreement and all the information detailed above.

Date*

Date

Signature*