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LUXURY SPRAY TANS

NEW CLIENT FORM

GENDER:
HAVE YOU SRAY TANNED BEFORE?
DO YOU HAVE ANY ALLERGIES?
DO YOU HAVE ANY ALLERGIES RELATED TO DIHYDROXYACETONE (DHA)?
DO YOU HAVE ANY SKIN CONDITIONS?
DO YOU HAVE ASTHMA OR ANY RESPIRATORY CONDITIONS?
ARE YOU PREGANT OR NURSING?
IF PREGNANT OR NURSING, DO YOU HAVE A DOCTOR'S PERMISSON TO SPRAY TAN?
DOES YOUR SKIN:
ARE YOU 18 OR OLDER?
IF UNDER 18, DO YOU HAVE YOUR PARENT'S OR GUARDIAN'S PERMISSION TO SPRAY TAN?

CONSENT

Click here to view pre-tan preparation and post-tan care instructions.

 

To my knowledge, I have no medical conditions or allergy which would preclude me from having a spray tan. I agree to waive any and all medical complications that may arise. I have been advised to discontinue use and consult a doctor if any reaction occurs. 

As each pregnancy and health condition is different, you should consult a doctor prior to spray tanning.  It is my responsibility to notify my spray tan artist of any allergies, relevant medical history, prior adverse reactions to self-tanning products and skincare, and any health changes.  There are occasions where individuals may be allergic to one or more ingredients in a spray tan solution. Please read the list of ingredients prior to application if you have any known allergies.
It is my responsibility to properly cover any open wounds or unhealed tattoos prior to spray tan appointment arrival.


The FDA has approved Dihydroxyacetone (DHA - the active ingredient in sunless spray tanning) for external application to the skin. For misting applications, the FDA recommends protective measures to prevent eye contact and inhalation or ingestion. To ensure complete protection, the FDA suggests wearing protective eyewear, nose filters, lip balm and undergarments.
There is a small percentage of people whose skin does not react favor
ably to spray tanning. Therefore, we do not recommend having a spray tan for the first time if you have a wedding, prom, photographic session, etc. We suggest you come one time prior to a special event.


Leather and silk may be stained by spray tanning solution; please use care.
Sunless tanning solutions do not contain any SPF protection and do not protect against the sun.
I have understood all i
nstructions and procedure details given to me prior to the session.
I understand that I am responsible for all jewelry, clothing, accessories I wear before and after my tanning session in case of staining or damage.


While the DHA bronzing residue will appear darker after several hours, the client understands than the cosmetic bronzer will wash off during the first shower leaving a natural-looking tan.

I have been provided with spray tan care instructions, which I have read and understand completely.

While a spray tan result should last about 10 days, I understand that the results vary from one person to another according to the preparation, the maintenance, the products used on a daily basis, the life habits, the medication, the daily activities, the skin type.


I give permission to use my before and after pictures (if they are taken during appointment) for promotional purposes.
I hereby consent to receiving a spray tan. I hereby waive any and all claims
or rights on my behalf as a result of any service rendered and release and forever discharge Katie Chirempes/VIXEN Beauty and its employees from any and all claims and responsibility or cause of action arising from the remanding of tanning services.

Thank you!

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