tanTALK - View Single Post - Client Waivers/Releases ~ Post samples Here

Neon Beach · 01-22-2007, 02:02 PM

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T A N N I N G
APPLICATION AND WAIVER
-------------------- Please Read Carefully --------------------

Consent to use of the tanning facilities is conditional
upon provision of accurate answers to the following questions and signing of the Waiver of Liability.

Applicants Under The Age Of 18
Will Require A Parent/Guardian To Co-Sign This Waiver.

NAME: ________________________________________ _______ DATE OF BIRTH: ______________________

ADDRESS: _______________________________ CITY: ________________ How did you hear about us? _______________

PHONE: ______________________ EMAIL (optional): ________________________________________ _

QUESTIONS:
1. Do you tan easily? Yes o No o
2. Do you go regularly into the sun? Yes o No o
3. Do you have a tendency to burn? Yes o No o
4. Do you have any know allergies to sunlight? Yes o No o
5. Have you ever suffered from a major sunburn? Yes o No o
6. Have you ever been advised by a Physician to stay out of the sun? Yes o No o
7. If so, for what reason? ________________________________________ __________________________
8. Are you taking any Medications that would cause sensitivity to sunlight? Yes o No o
Please review the following list:
Antimicrobial Agent: Tetracyclines, espec Demeolocycline, Sulfonamides, espec Sulfanilamide, Griseofulvin, Halogenated salicylanilides.
Other drugs: Penothiazines, espec Chlorpromazine, Thiazides, PSORALENS, Sulfonylures. Others: Oral Contraceptives, Sunscreens, Tar,
Cosmetics (due to presence of eosin, psoralens, or antimicrobial agents.)

Precautions are necessary for safe tanning. I agree that I will comply with all the instructions on the use of the system and that I am using these services at my own risk, and protecting my vision by using the goggles provided.
We and our employees and agents are not liable for any injury to person or property caused in any way by the use of its services or its premises. Also, they are not liable for the loss or theft of any personal property. Each person is responsible for safeguarding his or her own property.
In consideration of the acceptance of the Application and Waiver, I hereby waive and release for myself and by heirs, executors, and administrators any claims of any nature whatsoever which I might at any time have against the Company or employees and acknowledge that I will use the services provided at my own risk. I confirm that I have given accurate answers to the above questions, that I will carefully follow all directions given and that I am over the age of eighteen (18) years.*

Other things you should know:
1. Your session times are determined according to your skin type, tanning history as well as the condition of OUR tanning lamps and not by the maximum exposure times of the tanning units. We realize that you may have been tanning elsewhere, but we know our equipment the best, please follow our advice. Failure to follow said advice may result in burning for which we can not be held responsible.
2. In order to accurately compile Client histories. We are not able to allow others to use sessions that are on your "screen". Each person wishing to tan must sign a Waiver and be entered into our computer program individually.
3. For your safety and to prevent equipment damage, please follow the instructions regarding the bed acrylics posted in your tanning room.
4. We promote responsible tanning and do not allow double sessions or tanning more than once per day.
5. Please try to be early for your appointments, we may not be able to honour your appointment if you are late. Missing two (2) appointments may result in the loss of one (1) of your sessions.
6. Mineral oil, baby oil, outdoor tanning oils and lotions, etc. are harmful to the tanning bed acrylics. Please do not use any lotion that is not intended for indoor use and/or that has not been approved by one of our Tanning Consultants. Unapproved lotions include Deep Tan, Panama Jack, Banana Boat and Tan2 Max. Using these items may result in the loss of your tanning sessions without notice.
7. To prevent unauthorized use of tanning packages, client photos are taken and will appear only on your client screen.
8. If you ever have any questions, comments or concerns, please let us know!

SIGNATURE: ________________________________________ _____ DATE: _____________________________
* IF APPLICANT IS UNDER EIGHTEEN (18) PARENT/GUARDIAN MUST CO-SIGN BELOW:

PARENT/GUARDIAN: ______________________________ You have completed PAGE 1 of 2 Skin Analysis - Next Page
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