Company
Section 1
Client & Appointment Information
Street Address
What is your previous sunless-tanning experience? I have received a professional spray tan before. I have used a self-tanning product, but I have never received a professional spray tan. This is my first professional spray tan and my first time using a sunless-tanning product.
Section 2
Skin, Health & Service Screening
Are you currently pregnant or breastfeeding? Pregnant clients are strongly encouraged to consult their OB-GYN before booking. Medical clearance is not required by 50 Shades of Bronze, but the decision to proceed remains personal.
Yes No
Do you have any known allergies or sensitivities, including a known sensitivity to DHA or cosmetic ingredients? Yes No
Do you have a skin condition, active rash, open area, infection or other skin concern that may affect your service? Yes No
Do you have a respiratory condition or sensitivity that may be relevant to a mist-based service? Yes No
Are you currently using retinoids, exfoliating acids, prescription skin treatments or other products that may increase skin sensitivity or affect color development? Yes No
Have you used isotretinoin, including Accutane, within the past year? Yes No
Have you recently received waxing, a facial, chemical peel, laser treatment, microneedling, injections, massage or another skin or beauty treatment? Yes No
Is your skin currently sunburned, peeling or irritated? Yes No
How does your natural skin typically respond to sun exposure? Almost always burns and rarely tans Sometimes burns but can develop a tan Tans easily and rarely burns Unsure
Is there anything else you would like us to know before your service?Optional Optional. Include any additional health, skin, sensitivity, accessibility or service information that was not covered above.
0/1000
Section 3
Optional Protective Measures
DHA is used as a color additive for external application to the skin. Exposure to the eyes, lips, mucous membranes, inhalation and ingestion should be avoided. Protective options are available for each service.
Section 4
Preparation & Aftercare Acknowledgment
Preparation: For the most even application, complete other beauty services first, exfoliate and shave approximately 24 hours before the appointment whenever possible, and arrive with clean, completely dry, product-free skin.
Development: The cosmetic guide color may transfer before the first rinse. Water, sweating, skin-to-skin contact, tight clothing and friction can affect the developing tan.
Rinsing: The cosmetic guide color will wash away during the first rinse. This does not mean the developed tan has disappeared. First-rinse and first-shower timing varies by solution and will be provided at the appointment.
Aftercare: Daily hydration and tan-friendly products support a more even-looking fade. Individual results and wear time vary based on the client’s skin, preparation, chosen solution, activities and aftercare.
Review the complete Prep & Aftercare Guide
I have reviewed the preparation and aftercare information and agree to follow the personalized instructions provided for my service.
Section 5
Informed Consent
Spray tanning involves the external application of a cosmetic solution containing dihydroxyacetone, commonly called DHA, which temporarily darkens the appearance of the outermost layer of skin. DHA is intended for external application. Contact with the eyes, lips and mucous membranes, as well as inhalation or ingestion of the mist, should be avoided.
Protective options have been offered and my selections are recorded in this form. I understand that individual sensitivities and allergic reactions are possible and that no cosmetic product can be guaranteed to be reaction-free for every person. I have disclosed known allergies, sensitivities, skin concerns and other information that may reasonably affect my service.
I understand that spray-tan results vary. Color depth, development, longevity and fading may be affected by skin characteristics, preparation, solution selection, rinse timing, medications or topical products, hormones, activities and aftercare. A typical spray tan may remain visible for approximately 5–10 days, but no specific result or duration is guaranteed.
I understand that the cosmetic guide color may transfer to clothing, bedding, furniture or personal belongings before the first rinse. I accept responsibility for following preparation, clothing, rinse and aftercare instructions and for protecting my clothing and belongings.
I understand that a spray tan does not contain sunscreen unless expressly labeled otherwise and does not protect against sunburn or ultraviolet exposure. Normal sun-protection practices remain necessary.
If I am pregnant or breastfeeding, I understand that 50 Shades of Bronze encourages me to consult my healthcare provider or OB-GYN before receiving the service. I understand that choosing to proceed is my personal decision.
If this is my first spray tan before an appearance-sensitive event, I understand that a trial appointment in advance is recommended because individual color development and sensitivities cannot be predicted with certainty.
I confirm that the information I provided is accurate and complete to the best of my knowledge. I voluntarily consent to receive the selected spray-tan service.
Section 7
Photography & Video Permission
Your choice regarding photographs has no effect on your ability to receive services.
Photography preference Photography standards: Any photographs or video will be taken only with the client appropriately covered. Nude or otherwise inappropriate images will never be requested, taken or used.
Yes—photos or video may include my face. I authorize 50 Shades of Bronze to photograph or record my spray-tan results and use approved images or video on its website, social media, portfolio and promotional materials without additional compensation.Yes—but do not show my face. I authorize 50 Shades of Bronze to photograph or record my spray-tan results and use approved images or video on its website, social media, portfolio and promotional materials without additional compensation, provided my face is not visible.No photos or video. I do not authorize photographs or video for marketing, portfolio or promotional use.
Section 8
Electronic Signature
By signing electronically, I agree that my electronic signature is the legal equivalent of my handwritten signature for this client intake and consent form. I understand that I may request a copy of the completed form.
I consent to the use of electronic records and signatures for this form.
Typed Full Legal Name
Signature
Clear signature Use my typed name instead
Your signature date, Coordinated Universal Time timestamp, waiver version and submission identifier are recorded automatically when you submit.
Please review your responses carefully. After submission, changes must be discussed directly with 50 Shades of Bronze.
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