Personal Mobile Spray Tans-We Come to You - Mobile Tans are what we do!
Digital Consent Form.
Please read, check answers that apply, initial, sign and date.
We do NOT advise being sprayed prior to a photographic sessions, modeling assignments, or weddings, etc., unless you have had a trial visit with us first. I understand this recommendation. Please initial
First Name
Last Name
Email Address
Cell Phone Number
Address-Street
City
State
Zip Code
How did you hear about us?
How would you like to be contacted for future specials and discounts?
Have you ever had a sunless airbrush/spray tan before?
If yes and you were unhappy with the result Please describe why
If you are pregnant at this time, did you consult your physician before you scheduled your appointment?
DHA, is the prime ingredient in our products. DHA is listed in the Food, Drug and Cosmetic Act (FD&C Act) as a color additive for use on the external parts of the human body. However, its use is for cosmetic results only–it is restricted to external application. Sunless tanning products should never be applied to any body surface covered by mucous membrane”
There may be a small percentage of individuals whose skin does not react favorably to a sunless tanning visit. In VERY rare cases some medications such as birth control pills, hormone replacement medications, or antibiotics may alter your tan by causing it to fade faster than normal.
Our products may leave a temporary stain to any fabric or material that it comes in direct contact with. If the fabric is washable the stain should be eliminated within 1 to 2 washes. If the fabric is a non washable material the stain may not be removed at all. In this event “Sunless Tans by EJ” will not be responsible for any cleaning or replacement of the stained material.
All ingredients in the product used in this procedure are intended for cosmetic use and are regarded as safe. There are, however, occasions where individuals may be allergic to one or more ingredients in the tanning solutions. If this occurs, shower and discontinue use. If severe reaction, contact a physician.
I have read the information on www.sunlesstansbyej.com about how long my tan should last, ”What to do before/after tan” and “What will effect your tan” pages and understand the information. Please initial
With my signature I will not hold “Sunless Tans by EJ” liable for any medical expense in the event there is an allergic or worse reaction to the products. Please initial
I have reviewed the Non-Standard Service Areas tab and understand that if my location is in a non-standard area there will be an additional fee. Please initial
I have read the contents of this consent form carefully and state that I am not aware of any medical condition, allergies, or other reason that would prohibit me from sunless tanning. I have been given adequate instructions for the proper use of the sunless applications, understand the risks involved, and use it at my own risk. I hereby agree to release the owner, operators and manufacturers of the products used, from any damages that I might incur due to the use of “Sunless Tans by EJ” products. I have been advised to discontinue use if any reaction occurs. Please initial
DIGITAL SIGNATURE -I have read and understand the information provided on consent form. I will be using “Sunless Tans by EJ” in the future and this consent form will carry throughout all future appointments. I agree to accept all of the provisions. Please sign
Today's Date
Permission required if client is under the age of 18. I HEREBY GIVE MY PERMISSION as parent or guardian of