• Eclipse Mobile Tanning Client Intake & Consent Form

    Please complete this form to provide your information, consent, and preferences for your spray tan session.

  • Client Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Spray Tan Appointment Preferences

  • I would like to get tan
  • Which development are you interested in?
  • I am interested in a DHA infused, tan extending lotion to take home. ($24)

  • Spray Tan History

  • Have you received a spray tan before?*
  • Do you currently have a spray tan on your skin?*
  • Have you experienced any negative reactions to a spray tan in the past?*

  • Health & Safety

  • Are you pregnant or nursing?*
  • If yes, please consult your physician before receiving a spray tan.
  • Do you have any known allergies?*
  • Do you have any skin conditions that may affect your spray tan? (Examples: eczema, psoriasis, active rash, severe dryness, open wounds)*
  • Do you currently have a sunburn?*
  • Have you used Accutane within the past 12 months?*
  • Are you currently using prescription retinoids or strong exfoliating products?*

  • Preparation Checklist

  • Preparation Checklist*

  • Aftercare: To achieve the best results, follow the recommended processing time for your spray tan. Until your first rinse, avoid activities that cause sweating, getting your skin wet, applying moisturizer, or wearing makeup on treated areas. During your first shower, you may notice the cosmetic bronzer rinsing away. This is the color guide and does not affect your developed spray tan.

    For optimal longevity, wait 24 hours after your first rinse before using soap or body wash. Moisturize daily with a sulfate-free moisturizer to help maintain an even, longer-lasting tan.

  • Photo Consent

  • May we photograph your results for marketing purposes?
  • If yes, which uses do you allow?

  • CONSENT AND LIABILITY WAIVER

  • Spray Tan Consent
    I understand that spray tanning is a cosmetic service designed to temporarily darken the appearance of the skin using sunless tanning products containing DHA (Dihydroxyacetone).

    I understand that results may vary depending on my skin type, skin preparation, aftercare, lifestyle, and natural skin tone.

    I have been given the opportunity to ask questions regarding the spray tanning process, products used, and aftercare instructions.

    I understand that it is my responsibility to inform my spray tan artist of any allergies, sensitivities, medications, or skin conditions that may affect my service.

    I understand that although spray tanning products are generally considered safe for cosmetic use, allergic reactions, irritation, dryness, uneven color, or other skin reactions may occur.

    I understand that my artist cannot guarantee the exact shade, longevity, or outcome of my tan due to individual skin chemistry and outside factors.

    Mobile Spray Tanning Service Acknowledgment
    I understand that Eclipse Mobile Tanning provides spray tanning services in the comfort of my chosen location. I agree to provide a clean, safe, and suitable area for my spray tan appointment.

    I understand that:
    • The spray tan artist must have adequate space, lighting, ventilation, and access to a suitable area to perform the service safely.
    • The service area should be free of clutter, excessive moisture, and obstacles that may interfere with setup or application.
    • I am responsible for keeping pets, children, and other individuals at a safe distance during the spray tanning process to ensure a safe and professional environment.
    • Overspray may occur, and I am responsible for protecting any valuable items, furniture, flooring, or personal belongings in the service area.
    • Eclipse Mobile Tanning is not responsible for damage to personal property caused by failure to properly prepare or protect the service area.
    I understand that mobile appointments are a convenience service, and my cooperation in providing an appropriate environment helps ensure the best possible spray tanning experience.


    Client Responsibilities & Aftercare Acknowledgment
    I understand that proper preparation and aftercare are important for achieving the best possible spray tan results.
    I agree to follow all preparation and aftercare instructions provided by Eclipse Mobile Tanning.
    I understand that failure to follow recommended preparation and aftercare instructions may affect the color, development, longevity, and overall appearance of my tan.


    Liability Release
    By signing below, I acknowledge that I am voluntarily receiving a spray tanning service.
    I understand the potential risks involved, including but not limited to skin irritation, allergic reaction, uneven fading, staining of clothing or personal items, and dissatisfaction with results.
    I release and hold harmless Eclipse Mobile Tanning, its owner, and representatives from any claims, damages, or liabilities related to the spray tanning service, except in cases of proven negligence.

  • Signature

  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Minor Consent

  • Clients under the age of 18 must have a parent or legal guardian present at the appointment or provide written consent prior to receiving a spray tanning service. The parent or legal guardian is responsible for approving the service and ensuring that all health information, allergies, sensitivities, and skin concerns are accurately disclosed before the appointment.

    In addition to Eclipse Mobile Tanning’s bottoms policy, all minor clients are required to wear a top during their spray tanning appointment. Disposable undergarments will be provided upon request if the client does not bring their own.

  • Format: (000) 000-0000.
  • Should be Empty: