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Spray Tanning Consent Form
Lashes Consent Form
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Spray Tanning Consent Form
Although every precaution will be taken to ensure your safety and wellbeing before, during and after your spray tanning treatment, please be aware of the following information and possible risks.
Name
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Last
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Address
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Street Address
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City
State / Province / Region
ZIP / Postal Code
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I understand there are certain conditions that may be aggravated by receiving spray tanning treatments, including allergies, asthma, open wounds, pregnancy, and respriratory conditions, and I must consult a physician for permission before spray tanned.
I understand that reactions are rare, but many include possible allergic reactions including itchiness, redness, rash, coughing, dizziness, fainting and other irritations.
I understand that spray tanning is accomplished by the application of a solution containing DHA which has been approved by the FDA for external use only.
I understand that it is my right to request nose plugs, protective eyewear and occlusive lip balm to protect y mucus membranes from DHA exposure before treatment, per recommendation made by the FDA
I understand that a chemical in tanning sprays may pose ricks; the safety of its uses as a spray has not been investigated in studies on people and the amount of risks is inconclusive.
I understand that the spray tan does not contain a sunscreen and does not protect against sunburn.
I understand it takes 4-6 hours for the spray tanning solution 9containing DHA) to react with the amino acids on the skin's surface, and showering and sweating are not recommended during that time.
I understand that the spray tan solution can stain clothing. Dark-colored clothing is recommended.
I understand the spray tan will last approximately 5-7 days, depending on my skin cell turnover rate and the condition of my skin before and after spray tan treatment.
I understand that while the goal of this treatment is to give the skin an overall bronzed look, no specific guarantees of the result can or have been made.
I understand that if I am under the age of 18, I must wear undergarments during the treatment.
I understand that it is imprtative to my health that I disclose all of the information requested in the Client Profile/Health History
I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.
I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reaction to products or medications.
I understand that additional condition could occur or be discovered during the procedure which could affect my ability to tolerate the procedure.
I consent to before and after photographs for the purpose of documentation, potential advertising, and promotional purposes. ,
I opt out of wearing eye protection
I opt out of wearing nose protection
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I understand that if I have any concerns, I will address these with my skin care specialist. I give permission to my skin care specialist to perform the spray tanning procedure we have discussed, and will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, conditions, or products I am currently ingesting or using topically. I understand my skin care specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the skin care specialist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the skin care specialist, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.
Please Print Your Name In The Line Below
(Required)
Parent or Guardian Consent (Required for Minors): I GIVE MY PERMISSION as parent ( ) or guardian ( ) of __________________________ for this sunless spray tan application. I have read and fully understand and accept this Informed Consent/Release of Liability Form and agree to accept all of the provisions and certify that the information collected is true.
Please Print In The Line Below Your Childs Name Along With Your Name
I acknowledge that I have read, understood, and agree to abide by the Client Policy. By typing my full name below, I provide my digital signature, which holds the same legal weight as a handwritten signature, indicating my acceptance of the terms and conditions outlined in the policy.
Signature
(Required)
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