Bronzed by Eryn — Client Intake & Consent

Bronzed by Eryn — Client Intake & Consent

Complete this quick intake and consent form before your appointment so I can prep for your glow.
Client Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Appointment Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Service Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you 18 years of age or older?
Minor / Parent-Guardian Consent
Parent / Legal Guardian Full Name

First NameMiddle NameLast Name
Relationship to Client
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Acknowledgment
Parent/Legal Guardian Signature
Skin + Tan History
Have you had a spray tan before?
What result are you hoping for?
Are you tanning for an event?
Do you currently have a sunburn, peeling skin, open cuts, rash, or significant skin irritation?
Please explain your current skin condition
Sensitivities + Products
These questions help identify factors that may affect comfort or how evenly a tan develops.
Do you have any known skin sensitivities, allergies, or reactions to cosmetic or body products?
If yes, please explain.
Are you currently using any prescription or over-the-counter topical products that may increase dryness, exfoliation, or skin sensitivity?
If yes or not sure, please list the products.
Are you currently pregnant or breastfeeding?
Photo + Content Permission

May Bronzed by Eryn take and use photos/videos from your appointment for business and marketing purposes?
Please select one
Service Consent / Acknowledgments
I understand a spray tan is a cosmetic service and results can vary based on skin condition, preparation, products, aftercare, hormones, sweating, water exposure, and other individual factors.
I agree to follow the preparation, rinse, and aftercare instructions provided for the specific solution used at my appointment.
I understand spray tanning does not provide sun protection and I should continue to use appropriate SPF when exposed to the sun.
I have disclosed any current skin concerns or product sensitivities that may affect the service.
I understand that I may stop or decline the service at any time.
Signature
Electronic Signature
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Acknowledgment
Should be Empty:

Bronzed by Eryn — Client Intake & Consent

Client Information

Minor / Parent-Guardian Consent

Skin + Tan History

Sensitivities + Products

Photo + Content Permission

Service Consent / Acknowledgments

Signature