New Tanning Client Intake
Please fill this form out if it's your first time spray tanning at Celebrity Skin
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
How did you hear about us? If from a friend, add their name to the "other" section:
Are you pregnant?
Have you ever tried any of the following sunless products in the past?
Spray tan automatic booth
None of the above
Have you ever had a reaction to any of the above products? If yes, please describe in "other" section:
Do you have any allergies? If so, please list in "other" section:
Are you over the age of 18? Please type your birthday in "other" section:
Are you allergic to DHA?
If yes, do you have a doctor's permission to tan?
If you're under the care of a doctor, please indicate any reason why it may be unsafe for you to tan in "other" section:
N/A, not under care of doctor
Spray tanning is accomplished by application of a solution containing the active ingredient DHA (dihydroxyacetone). DHA is considered to be safe and has been FDA approved for cosmetic use. DHA is listed in the food, drug and cosmetic act as a color additive for use in imparting color to the human body. However, its use in cosmetics- including sunless tanning products- is restricted to external application.
DHA reacts with the skin’s amino acids, resulting in a tan similar looking to that of the sun. The darker your skin, the darker spray tan color you can have and still look natural. Overexposure to DHA does not cause skin damage but can result in possible orange coloring of the skin. Please follow the advice of the spray tan technician.
What you wear is up to you and your level of comfort.
Men are required to wear bottoms.
It is recommended that you wear an old dark swimsuit or underwear. While the solution should wash out of dark clothing, it is best to wash the swimsuit or clothing as soon as possible.
You will have an immediate tan after your airbrush tanning session due to the cosmetic bronzer. The sunless tan will develop gradually over the next 8-12 hours. The cosmetic bronzer will wash off after your first shower and you will be left with a more subtle tan. This is normal.
After your session,
tight fitting clothing/shoes, leather, perspiring, and water.
If you have any concerns at all about an allergic reaction, please ask for a list of ingredients prior to your tanning session.
We always recommend a trial run for a tan intended for important occasions such as weddings, photography sessions, modeling, etc.
– This product does not contain a sunscreen and does not protect against sunburn. Repeated exposure to the sun/uv rays without the use of sunscreen may increase the risk of skin aging, skin cancer, and other harmful effects to the skin even if you do not burn.
This process has been explained to me and I hereby agree to allow a technician at Celebrity Skin Chicago to apply the sunless tanning solution to my skin. To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I agree to hold Celebrity Skin Chicago harmless of any and all medical complications that may arise. I have been advised to discontinue use if any reaction occurs. I have read and fully understand this client release and informed consent form and hereby agree to accept all of the provisions.
Client signature (or signature of guardian if client is under 18)
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