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Old 03-09-2005, 09:50 PM   #1 (permalink)
 
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Join Date: Feb 23 2005
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CLIENT RELESE AND INFORMED CONSENT FORM


WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE AT ANY TIME PLEASE READ THE FOLLOWING INFORMATION AND ACKOWLEDGE THAT YOU UNDER STAND AND ACCEPT ALL PROVISIONS BY SIGNING BELOW

1.We recommend sensible, moderate and responsible exposure to ultraviolet radiation
(UVR).

2.PLEASE FOLLOW ALL INSTRUCTIONS regarding the operation of all tanning equipment. The proper procedure to follow in the tanning room has been clearly explained by the attendant. Please feel free to ask any questions or to voice any concerns that you might have before starting to tan.

IF YOU DO NOT DEVOLP A TAN IN THE SUN, YOU ARE UNLIKELY TO TAN FORM THE USE OF THE TANNING DEVICES AT THIS TANNING SALON
DANGER – ULTRAVIOLET RADIATION

3. AVOIDE OVEREXPOSURE. As with natural sunlight, overexposure can cause eye and skin injury and allergic reactions. Repeated overexposure to UVR may cause photo aging of the skin, dryness, wrinkling and (sometimes fatal) non-melanoma skin cancer. We recommend that you do not tan out doors on days you are tanning indoors, do not tan if you have a sunburn, seek medical care if you suffer a severe, painful and blistering sunburn and that you tan no more often than every other day.

4. WEAR PROTECTIVE EYEWARE. You are required to wear protective eyewear while tanning in our facility. Failure to wear protective eyewear may result in severe burns or long-term injury to the eyes. We recommend that you remove contact lenses before tanning.


I have read the contents of this Client Release and Informed Consent form carefully and state that I am not aware of any medical condition or other reason that would prohibit me from tanning. I understand that I will not be allowed to exceed the maximum allowable time posted on the sun bed. I have been given adequate instructions regarding the proper use of the tanning equipment I will use, understand the risks involved and I do so at my own risk. I hereby agree to release the owners, operators, manufactures, distributors, and any governmental agency from any damages that I might incur due to the use of this tanning facility.

Signature_______________________________ ___________________ Date________________

Witness (Employee signature)______________________________ ___ Date________________

Client #__________________ SPECIAL NEEDS CONSENT_______________________________
This informed consent form has been read to an illiterate or visually handicapped person in my presence.
---------------------------------------------------------------------------------------------------------------------------------
PARENT/GUARDIAN:_______________________________ ___________________________________

I hereby give permission as a parent or guardian of _________________ who is _________ years of age and is

my ____________ to tan at this tanning salon. I have read and understand this Client Release and Informed

Consent Form and agree to accept all of its provisions.

Date: ________ Signed:_________________________________ ____



This is the one we use.
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Old 03-09-2005, 09:52 PM   #2 (permalink)
 
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If anyone has the required signs (in text format) that need to be posted in your salon. Could you post them here. Thanks
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Old 03-10-2005, 06:25 AM   #3 (permalink)
 
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Location: Ontario
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xxxxxxxx
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
waiver_2002/jpw
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Old 03-10-2005, 08:47 AM   #4 (permalink)
 
Join Date: Feb 21 2005
Location: woodstock, illinois
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HELP, DOES ANYONE HAVE AN EMPLOYEE HANDBOOK. SOME FABULOUS PERSON EMAILED IT TO ME AND NOW I CAN'T FIND IT. I NEED TO PRINT IT OUT, WE'RE GETTING READY TO FINALLY HIRE SOMEONE. I HAVE A SPA IN WOODSTOCK, IL
E-MAIL TO PEACOCKBLUE@SBCGLOBAL.NET
THANKS A BUNCH
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Old 03-11-2005, 10:53 PM   #5 (permalink)
 
Join Date: Oct 5 2004
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May I also request a copy of the employee's handbook.

Please and thank you.......... : )

thazy2@yahoo.com


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Old 03-12-2005, 01:36 PM   #6 (permalink)
 
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May I also request a copy of the employee's handbook.

Please and thanks matthoster@hotmail.com


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Old 03-13-2005, 04:31 PM   #7 (permalink)
 
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Does anyone have a waiver for sunless?
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Old 03-21-2005, 05:53 PM   #8 (permalink)
 
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Could I also request a copy of the employee handbook?

sweick@hotmail.com
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Old 06-06-2005, 06:45 PM   #9 (permalink)
 
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BUMP
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Old 06-06-2005, 08:08 PM   #10 (permalink)
 
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Thanks for the copy of the consent form, and could I also get a copy of that employee handbook
luvblklab@msn.com
Thanks
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