I AM OVER 18, SIGNING FOR MYSELF. WE’RE EXCITED TO HAVE YOU! THANK YOU FOR SIGNING THIS WAIVER (A LEGALLY BINDING CONTRACT) BEFORE YOUR VISIT. Spray tanning is accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is generally considered to be safe and has been FDA approved ONLY if you follow guide lines to protect mucous membranes. The FDA advises asking the following questions when considering the application of DHA products by spraying or misting: * Are you protected from exposure in the entire area of the eyes, in addition to the eyes themselves? (googles or stickers can be requested if needed) * Are you protected from exposure on the lips and all parts of the body covered by mucous membrane? (lip balm or spa garments are available if requested) * Are you protected from internal exposure caused by inhaling or ingesting the product? (ventilation used as needed, and nose filters are available upon request) If the 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. What to expect: You will enter a private room where you willbe asked to remove clothing, this is up to you and your desired level of comfort however females may completely undress while men must wear undergarments no exceptions, disposable undergarments may be available upon request. it is best to wear dark loose fitting clothing after being tanned to reduce the risk of access rub off and blotching. It is advised to wash the undergarments or clothing worn as soon as possible after your session Glow Lab is not responsible for damaged clothing. Next, you will be sprayed. This process will take approximately ten to fifteen minutes. After spraying, your skin should be dry before putting your clothes back on and you should not sweat excessively for 24 hours post first rinse as your tan is still developing. Rare cases clients may need more then one application to achieve their desired color. Glow Lab gives notice that sunless tanning will NOT protect you from the sun. The solution will give you an immediate bronzing effect. The bronzing effect is a result of a temporary coloring additive in the solution that will remain on the skin until your tan develops. When you shower, the coloring will come off to reveal your sunless DHA tan beneath. All people, all skin, is different. All ingredients used in this procedure are intended for cosmetic use and 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. Please discuss with your technician. I AM OVER 18, SIGNING FOR MYSELF. CLIENT'S NAME CLIENT'S EMAIL CLIENT'S PHONE CLIENT'S DATE OF BIRTH - MONTH -1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December- DAY -12345678910111213141516171819202122232425262728293031- YEAR -20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 CLIENT'S INFORMATION How did you hear about us? Are you pregnant or nursing? If yes, consult with your doctor BEFORE proceeding. NoYes Does your body have any areas of dryness? Are any of these a concern? Allergies / Nut allergiesAsthma / Respiratory issuesHistory of dizziness / FaintingRecent illness READY TO SIGN? I agree. This is a legally binding document with GLOW LAB of Cherry Hill, NJ. By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary. PLEASE SIGN YOUR NAME BELOW BY DRAWING: