SPRAY TANNING RELEASE | CLIENT INFORMATION FORM

By completing the Client Information Form below, you agree to the following information:

• Spray tanning is accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is considered to be safe and has been FDA approved ONLY if you follow guidelines to protect mucous membranes. The FDA advises askin the following questions when considering the application of DHA by spraying or misting:

• Are you protected from exposure in the entire area of the eyes, in addition to the eyes themselves?

• Are you protected from exposure caused by inhaling or ingesting the product? If hte answer to any of these questions is "no," you are not protected from the unapproved use of DHA. You should request measures to protect your eyes and mucous membranes and prevent inhalation.

• You will dress down to your level of comfort and should wear a dark swimsuit or underwear. Spa undergarments may be available upon request.The solution will wash out of most clothing. It is always best to wear dark loose fitting cotton clothing. It is advised to wash the undergarment or clothing worn as soon as possible after your session.

• Next, you will be sprayed. This process will take approximately 10 to 15 minutes. After spraying, your skin should be dry before putting your clothes back on and you should not bathe or sweat excessively for the number of hours provided by your technician. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a coloring additive in the solution that will remain on the skin until you shower. Your actual tan will develop over the next 24 hours.

• All people are different. All ingredients used in the procedure are intended for cosmetic use and are generally regarded as safe. There are, however, occasions where individuals may be allergic to one or more ingredients in the spray tan solution. Please read the ingredients list if you have any known allergies.

• Be advised there is a small percentage of people whose skin may not react favorably to spray tanning. For this reason, we do NOT advise being sprayed for the first time when your appearance is critical such as a wedding or other special occasion.

• Caution: Pregnant or nursing women should consult their physician before using.

• Warning: This product does not contain a sunscreen and does not protect against sunburn. Repeated exposure of unprotected skin to U.V. light may increase the risk of skin aging, skin cancer and other harmful effects to the skin even if you do not burn.

I have been provided with spray tan care instructions, which I have read and understand completely. To my knowledge, I have no medical condition nor allergy which would preclude me from having this procedure done. I have been honest and accurate about the information that I have provided on this waiver. I take sole responsibility for any reaction I may have, staining of clothing and/or personal belongings including any accidental spills in my place of residence or other preferred location of choice. I have read and completely understand this consent form.