Client Consent & Waiver Form You have agreed to participate in a spray tanning session to achieve a “sunless” tan on your skin. To help best achieve your desired results, please read the following material carefully and acknowledge your understanding and agreement by initialing and signing below. Sunless Spray Tanning is accomplished by application of a solution containing the active ingredient Dihydroxyacetone (DHA). The sunless solution is sprayed onto the skin manually using a spray gun. DHA has been approved by the Federal Drug Administration (FDA) for cosmetic use and when used according to FDA guidelines, spray tanning is perfectly safe. Golden Girl Spray Tans provides a healthy environment with a ventilation system. In addition to good ventilation, the FDA recommends the use of nose filters, protective eyewear, lip balm for lips and having the client wear a thong or panty. I Agree DHA reacts with the skin’s amino acids resulting in a ”tan” similar to that of the sun, but with no Ultra Violet, (UV), danger. Sunless tanning does not provide any UV protection; use Sun Protection Factor, (SPF), and sun protection as usual. I Agree If you have sensitive skin or allergies to sunless tanning products containing DHA or if you are unsure whether you may be allergic to DHA, we strongly suggest consulting your physician prior to sunless tanning. Allergic reactions such as minor skin rash are extremely rare, but possible. If you have never used a sunless tanning product, we suggest a patch test 24 hours before the full body application. Golden Girl Spray Tans is not responsible for any allergic reactions that may occur during or after use. I Agree If you have a history of asthma or other respiratory or medical conditions that could be aggravated by the use of the spray tanning process, please consult a physician before proceeding. Please tell your tanning technician about any past allergic reactions with DHA products or other medical concerns. Golden Girl Spray Tans is not responsible for the aggravation of any medical condition that may occur during or after use. I Agree You should prepare your skin for your session prior to your arrival. Skin should be free of deodorant, sweat, fragrances, lotions and should be clean, dry and exfoliated (removal of dead, dried skin cells) and shaved. Remove all make-up and do not wear any jewelry of any kind. If you attend a spray tanning session without proper preparation, Golden Girl Spray Tans cannot guarantee lasting or satisfactory results. I Agree The bronzer in sunless tanning solutions used during your session has the potential to stain clothing. We recommend that you wear something dark in color that can be stained without concern. After your tanning session, you should wear dark loose fitting clothes. I Agree It is also possible that the sunless tanning solution may transfer to other clothing, furniture or car seats after your session. Washing or dry-cleaning will usually, but not always, remove the color. Golden Girl Spray Tans is not responsible for potential stains to clothing or upholstery. Please be conscientious and careful. I Agree Your tanning session will take approximately 25 minutes, this includes a prep spray and dry time. After spraying, your skin should be mostly dry before putting your clothes back on and you should not bathe, shower or sweat excessively for 8 – 10 hours after your session. Exposure to excessive moisture before this time period may affect your results. When your session is over the solution will give you an immediate bronzing effect. When you shower, the bronzer will come off and reveal your true tan color, keep in mind that most solutions require a FULL 24 hours to develop. I Agree Client Condition Golden Girl Spray Tans will provide spray tanning services to women who are pregnant or nursing; however, the client is advised to consult their physician prior to application. The client is also advised to wear all protective gear provided (nose filters, panties or disposable thong, lip balm, and top or disposable pasties) Be aware that due to hormonal conditions during pregnancy, it may affect the outcome of your spray tan color and/or evenness. I Agree Female Clients, 18 years of age and over, may choose to receive spray tanning services nude, however, the FDA recommends that a thong or panty be worn. I Agree Female clients under the age of 18 must be accompanied by a parent or legal guardian or have approval using the form below. I Agree Golden Girl Spray Tans will not be responsible for lost, stolen or damaged personal items. I Agree Spray Tanning Process Process The spray tanning process has been explained to me and I hereby agree to allow Golden Girl Spray Tans to apply sunless solution to my skin using the spray tanning process. To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I agree to hold harmless Golden Girl Spray Tans of any medical complications that may arise and I have been advised to discontinue use if any reaction occurs. I understand that the results of spray tanning do vary and that no guarantees of specific results are offered or implied. I hereby release this establishment, as well as the technician and hold them harmless from any liability involved in the use of or arising during the tanning process. I also agree to first contact Golden Girl Spray Tans if for any reason I am dissatisfied with my results. I Agree
Read & Understand I have read and completely understand this consent form. I Agree
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