Client Consent

Full name

Phone

Postal / Zip code

Address

City / Town

1. What is your date of birth?

2.Have you used UV tanning equipment before?

Yes

3. Is your skin naturally...

Very Fair

Fair

Brownish White

Dark

4. In sunlight, does your skin usually...

Tan easily and quickly

Tan moderately and rarely burn

Burns easily but tans eventually

Never tans, always burns

5. Please click each option below to confirm that prior to your sunbed you know to...

Ensure you know how to switch the sunbed off

Remove facial and body cosmetics

Remove all jewellery

Remove contact lenses

Always wear the protective goggles provided

6. Please click each option below to confirm you understand the following guidance...

You should wait at least 48 hours between your first two sessions and then 24 hours between subsequent appointments

You should not sunbathe and have a sunbed on the same day

If signs of redness remain from a previous session, you will consult a member of staff before using the sunbed

You must not use outdoor sunscreen or lotions on a sunbed

If you experience any abnormal reaction during your session, you will immediately STOP and consult a member of staff

7. Are you currently taking any medical drugs that can increase the skins sensitivity to UV ray?

Yes

8. Do you have any medical conditions which are worsened by sunlight?

Yes

9. Are you pregnant?

Yes

10. Have you undergone any surgery in the last 6 weeks?

Yes

11. Do you have an excessive number of freckles and/or more than 50 moles?

Yes

12. Have you or anyone in your immediate family ever had skin cancer?

Yes

13. Do you have a history of sunburn, especially from childhood?

Yes

If you have answered YES to any of the above questions from Q7 to Q13, please consult a GP before using a sunbed.

PLEASE READ AND eSIGN BELOW: I have read and understood the information provided and have given accurate answers to all of the above questions. I have consulted my GP where necessary. I confirm that I am over 18 years of age and I am suitable to use UV tanning equipment. I undertake to advise the salon if my medical condition changes.

Please note you will need to bring a type of ID on arrival to the salon for us to double check the age that you have submitted.

Your Signature

Thank you for submitting!