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SERVICES
PRODUCTS
FAQ’S
SPRAY TAN GUIDELINES
PORTFOLIO
GIFT CARDS
CONTACT US
BOOK NOW
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INTAKE FORM
First Name
Last Name
Phone
Email
Please select your gender
Male
Female
Non-Binary
Do you have any allergies or respiratory issues?
Are you pregnant or breastfeeding?
Have you had surgery or medical treatment in the past 3 months?
No
Yes
Do you have any open cuts or rashes?
No
Yes
In the past 2 weeks, have you had any piercings, tatoos, botox or fillers?
No
Yes
Do you wear contact lenses?
No
Yes
Have you showered/shaved/waxed within 5 hours of your appointment?
No
Yes
Have you applied moisturizer today?
No
Yes
Have you brought loose, dark clothing to wear after your session (umbrella if raining)?
No
Yes
Is this tan for a special occasion?
No
Yes
Have you had a spray tan before?
No
Yes
Have you completely read the pre-session prep and aftercare tips and FDA recommendations on our website?
No
Yes
Are you aware that pre-session prep and aftercare in your full responsibility?
No
Yes
Please confirm you are happy to proceed with your treatment.
Yes
Are you willing to do a before & after or tan line picture? (can be anonymous)
No
Yes
How well do you tan in the sun?
What shade level would you like to achieve for your spray tan?
How did you hear about Sunless Skyn?
Do you have any questions?
I declare that I have read and understood and answered the questions to the best of my knowledge. I have read the contents of this consent form carefully and state that I am not aware of any medical condition, allergies, breathing or respiratory issue, or any other reason that would prohibit me from airbrush tanning. I have been given adequate instructions for the proper use of the sunless application with the tanning tips that Sunless Skyn Studio D/B/A has instructed me to read on the website, text or emailed to me. I am aware that the results of airbrush tanning vary and that no guarantee is offered or implied. If there is any discomfort during the session, the session will immediately stop. If necessary, Sunless Skyn Studio D/B/A will seek medical assistance on your behalf. I agree to release Sunless Skyn D/B/A the owner and the property owners, operators, manufacturers from any damages that I might incur due to the use of this facility or service. I have been advised to discontinue use if any reaction occurs, understand the risks involved, and tan at my own risk. Refunds are at the discretion of Sunless Skyn D/B/A. It is the sole responsibility of the client to notify Sunless Skyn D/B/A about any changes in allergies or medication. Sunless Skyn D/B/A will provide a list of solution ingredients upon request, plant derivative DHA being the main ingredient. I do feel that the owner and any employees of Sunless Skyn D/B/A have answered my questions and have provided me with all the appropriate information for my sunless airbrush tan. FDA precautionary guidelines for spray tanning with DHA: The FDA has advised that all users of DHA spray tanning services avoid inhaling or ingesting DHA. When using all-over sunless tanning sprays containing DHA it may be difficult to avoid exposure to sensitive areas including eyes, lips, mucus membranes or internally. The FDA recommends you take the following protective measures during your sunless tanning session: Use of protective undergarments, Use of protective eyewear, Use of nose filters, Use of lip balm. Sunless Skyn D/B/A offers the following sanitary, disposable items: nose filters, face masks, undergarments, hair nets, and ‘sticky’ feet. Please request these offered items from your spray technician if you do not have them available to you. The first set is supplied free upon your request. If you have additional concerns, please consult with your health care provider. To understand the complete FDA stance on DHA please visit www.FDA.gov. Use of Retinol and anti-aging products, acne treatment products, and products that include AHA’s and BHA’s may fade your sunless tan quicker or cause your tan to appear patchy, as they are designed to exfoliate the skin and renew to reveal the skin underneath. I have read and understand this waiver in its entirety as well as the tanning tips and instructions. The information above is for the technicians records only and will not be misused or passed on to any other third-parties.
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Date
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Once you have submitted the form above click below to book a date and time for your appointment.
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