24-Hour Access Tanning Salon Client Release, Waiver, and Informed Consent
Please read and acknowledge all provisions before signing. This form covers important risks, waivers, and your informed consent for 24-hour tanning access.
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1 Month Tanning
$45.00
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Credit Card
Client Information
Member #
Print Name of Client
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Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Birthday - Month
Birthday - Day
Yes, I would like to receive promotions and sales via email/text.
Yes, I would like to receive promotions and sales via email/text.
Risks Acknowledgment & Waiver
1. You have agreed to purchase a tanning package at Shabby Chic Boutique & Tanning (T&B, LLC) that allows you access at any time. As such, you are aware that there will be no supervision or assistance during certain hours. You are also aware that if you are injured or have a medical emergency there will likely be no one to respond to your emergency. This facility has no duty to aid you even though the facility is equipped with surveillance cameras. Engaging in activities on the premises is done so at your own risk. This waiver and release of liability includes, without limitations, all injuries which may occur, regardless of negligence, because of your use of equipment in the facility.
Initials (Section 1: Unsupervised 24-hour access, assumption of risk, and waiver of liability)
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2. AVOID OVEREXPOSURE. As with natural sunlight, overexposure can cause eye and skin injury and allergic reactions. Repeated Overexposure may cause photo aging of the skin, dryness, wrinkling and in some instances skin cancer. We recommend that you do not tan outdoors on days you are tanning indoors, that you do not tan if you currently have a sunburn, and that you, at most, tan only once in a 24-hour period.
Initials (Section 2: Overexposure risks and recommended tanning frequency)
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3. CERTAIN MEDICATIONS, lotions and other products may cause your skin to be more sensitive to UV Rays. Check the posted list of drugs and products known to increase the photosensitivity of the skin. Check with your physician or pharmacist if you are unsure about any medications, you are taking or if you have had a problem with indoor or outdoor tanning in the past.
Initials (Section 3: Medication/product photosensitivity warning)
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4. OTHER SAFETY GUIDELINES
a. Active tanning clients only after hours. Absolutely no guests, pets or children under 18 allowed after hours.
b. For your safety and the protection of the beds, use appropriate indoor tanning lotions only.
c. Clean the bed with the cleaning solution provided before and after each use. Clean twice after the use of tingle lotions.
d. Please report any equipment problems immediately to the staff. Email or text are most appropriate from 8pm-8am. Calls will be accepted from 8am-8pm.
e. ABSOLUTELY NO SHARING OF KEY FOBS. This includes 2 active clients entering the door together (piggy backing). Each must scan their own key fob to enter.
f. Turn off all the lights when you leave.
Initials (Section 4: Other safety guidelines a–f)
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Consent & Agreement
I have read the contents of this consent carefully and state that I understand the risks involved in tanning and using 24-hour access. I have been given an opportunity to ask questions and they have been answered to my satisfaction. I understand and agree to the above release, waiver, and informed consent.
I have read, understand, and agree to the above release, waiver, and informed consent.
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I have read, understand, and agree to the above release, waiver, and informed consent.
Signature
Signature of Client
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Date of Signature
*
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Month
-
Day
Year
Date
Submit
Submit
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