Spray Tan Consultation/Consent Form | Beauty Forms Portal

Spray Tan Consultation and Consent Form

Client Details

Full Name: *

Date of Birth: *

Contact Number: *

Email: *

Health Information

1. Are you currently taking any medications? *

Please list: *

2. Do you have any allergies? *

Please list: *

3. Have you ever used a self-tanner or had a professional tan applied? *

Please state the brand/type (if known): *

4. Have you ever had any skin reactions from a self-tanner/professional tan? *

Please specify: *

5. Do you have any skin conditions that may be of concern? *

Please specify: *

6. Do you have any respiratory problems / asthma that may be of concern? *

Please seek medical advice and consent before receiving this treatment.

7. Do you wear contact lenses? *

Please remove your contact lenses before your treatment.

8. Are you (or possibly may be) pregnant? *

Please seek medical advice and consent before receiving this treatment.

9. Have you recently been unwell? *

Which of the following were you unwell with? *

Please provide more detail: *

Skin Information

1. How do you usually react to the sun? *

2. How often do you use a moisturizer on your body? *

3. Did you exfoliate your skin before this visit? *

4. Do you currently have any lotions or creams on? *

5. What skin type do you have? *

Normal Dry Oily Combination Acne Prone Sensitive

6. What is your skin tone? (Your skin tone is the natural color of your complexion. To determine yours, focus on the area of your face near the jawline.): *

7. What is your skin’s undertone? (Take a look at the inside of your wrist. If your veins are blue, you are a "cool" undertone. If you see mostly green, select “warm”. If you see both blue and green, select "neutral".): *

Any additional notes/comments:

Consent

I understand that I am responsible for all jewelry, clothing, and accessories I wear before and after my airbrush tanning application.
I understand and do not hold anyone but myself responsible for any of these items.
I assume all responsibility for any kind of allergic reaction I might have to this formula.
I understand that I am doing this sunless tanning procedure at my own risk.
I have read and understand all of the information above.
All the information I have provided is true and correct to the best of my knowledge.

By my electronic signature below I acknowledge that I have read and fully understand this agreement and all the information detailed above. *

Tap or click on the signature above to sign