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Tanning Salon Release
If you have a tanning salon, this template can be used to create a consent release form for the services you provide. The first page of the form allows you to gather information regarding the client while the second page allows you to define guidelines for using the tanning beds.

Free Sample Template
Format: Word PDF
# of Pages: 2
Printable: Yes


Tanning Salon Release TemplateForm 2953
Format: Word PDF
Category: Occupation, Miscellaneous
Type: Release

Tanning Salon Release

[Company Name]

[Address]

[City, State Zip Code]

[Phone Number]

[Website]

Customerís Name: ______________________________________________________________________________

Address: ______________________________________________________________________________________

City: ___________________________________ Sate: _____________ Zip Code: ____________________________

Phone Number: _____________________________ Email Address: ______________________________________

Date of Birth: ___/___/_____

Please check the box for your skin type:

Light

Medium

Dark

Have you ever used a tanning salon before? ___ Yes ___ No

If yes, where? __________________________________________________________________________________

How did you hear about our Tanning Solon? _________________________________________________________

_____________________________________________________________________________________________

Please check the box for your skin type when tanning?

Always Burn,

Never Tan

Usually Burn,

Sometimes Tan

Sometimes Burn,

Always Tan

Never Burn,

Always Tan

How long has it been since you have had a tan? ______________________________________________________

Do you wear contact lenses? ___ Yes ___ No

Have you ever had a severe sunburn? ___ Yes ___ No

If yes, when did you last have a sever sunburn? _______________________________________________________

Have you ever been advised by a physician to stay out of the sun? ___ Yes ___ No

If yes, why were you advised by your doctor to stay out of the sun? ______________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________




PLEASE FOLLOW THE FOLLOWING GUIDELINES WHILE USING OUR TANNING FACILITY:

Please avoid overexposure while using our tanning beds. Similar to natural sunlight, overexposure can cause eye and skin injury and create allergic reactions. Repeated overexposure can cause premature aging and has also been known to cause skin cancer.

Always wear protective eyewear while using our tanning beds. Failure to wear protective goggles may result in severe burning or injury to your eyes.

For the best results it is highly recommended that you use an indoor tanning lotion.

Please always inform a tanning salon technician if you are taking any medications that create sun sensitivity. You should consult a doctor before tanning if you are taking any medications that may cause an extra sensitivity to the sun or have a history of skin problems and are very sensitive to sun light.

I fully understand that and have been made aware that under state law I may only tan once in a twenty-four hour period.

I hereby verify with my signature found below that I am 18 years old or older as required by state law.

If you are pregnant or if there is a chance that you may be pregnant then you should not be using a tanning salon.

We intend to keep you well informed about the tanning process by informing you how to operate the equipment as well as how to tan in a responsible manner. Our tanning technicians will inform you of proper tanning procedures in the tanning room. If you have any questions or have any concerns please address them at this time. It is always our goal to help you have the absolute best tanning experience possible in a responsible way.

I hereby acknowledge that I have been given instructions on the proper use of the tanning equipment and I will use the tanning salon at my own risk. I release the tanning salon owners, operators and tanning bed manufactures from any and all damages that may result due to my use of the tanning beds and the tanning salon.

Signature: ___________________________________________________________________ Date: ___/___/_____

Tanning Bed #

Entry Time

Exit Time

Tanning Package

Total Amount Due

Tanning Technician Initials