Spray Tan Consent Form

1. Spray tanning accomplished by application of a solution containing the active ingredient: DHA (Dihydroxyacetone). DHA is considered to be safe and has been FDA approved for cosmetic use. DHA is listed in the Food, Drug and Cosmetic Act (FD&C Act) as a color additive for use in imparting color to the human body. However, its use in cosmetics - including sunless "tanning" products - is restricted to external application. According to the CFR, "externally applied" cosmetics are those "applied only to external parts of the body and not to the lips or any body surface covered by mucous membrane" (21 CFR 70.3v).
   
   
2. DHA reacts with the skin’s amino acids resulting in a “tan” similar looking to that of the sun. The darker your skin, the darker you can tan with a spray tan. Too much spray can result in an unnatural looking tan.
   
   
3. Before receiving a spray tan, your skin should be free of deodorant, sweat, fragrances, lotions, and should be clean, dry, exfoliated, and shaved.
   
   
4. You will enter a spray tent. What you wear is up to you and your level of comfort. It is recommended that you wear an old dark swimsuit or underwear for clothing. The solution should wash out of dark clothing; it is best to wash the swimsuit or clothing as soon as possible after your session.
   
   
5. Follow the breathing instructions as to avoid inhaling or ingesting the solution. You will be prompted when to close your eyes while spraying. A barrier crème should be applied to the lips, finger\toenails, palms, and bottoms of feet.
   
   
6. You will then be airbrushed. This process will take approximately 10 minutes. Afterwards, your skin should be dry before putting your clothes back on. 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 your longer lasting tan develops. When you shower, the coloring will come off to reveal your actual tan beneath. I recommend showering 8 – 12 hours after the session, preferably letting the solution develop overnight. *Use darker sheets if going to bed before showering.
   
   
7. Following your session: WEAR dark loose fitting clothes (black sweats are best) DON’T perspire or get skin wet.
   
   
8. All people are different. All ingredients in the product used in this procedure are intended for cosmetic use and regarded safe and natural. There are, however, occasions where individuals may be allergic to one or more ingredients in the spray tan solution. You may ask to see the ingredients prior to application.
   
   
9. Be advised I do NOT recommend being sprayed for photographic sessions, modeling assignments, weddings, etc. unless you have had a trial spray tan within the last month.
   
   
10. Warning – Some solutions do not contain a sunscreen and will not protect against sunburn. Repeated exposure of unprotected skin may increase the risk of skin aging, skin cancer and other harmful effects to the skin even if you do not burn. 
    
    Spray Tan Consent Form (Please read, understand, complete, and sign the following)
    
    This Process has been explained to me and I hereby agree to allow Hypnotic to apply the Spray Tan solution to my skin. To my knowledge, I have no medical condition or allergy which would preclude me from having this procedure done. I agree to hold Hypnotic harmless of any and all medical complications that may arise. I have been advised to discontinue use if any reaction occurs.
    
    

• have read and fully understand this Client Release and Informed Consent Form and hereby agree to accept all of the provisions.
  
  Client’s Printed Name: _____________________________________________ Date___________________
  
  Signature: _______________________________________________________Date: __________________
  
  Witness (technician) Signature: ______________________________________ Date: ___________
  
  I HEREBY GIVE MY PERMISSION as parent ( ) or guardian ( ) of ____________________________________

  who is ______ years of age  (permission required if under 18), to be spray tanned by Hypnotic.
  
  SIGNED: _______________________________________________________ Date: ___________________
  
  List any known allergies: ________________________________________________________________________________________
  
  Are you allergic to latex? Yes or No
  
  Are you presently pregnant? Yes or No

  DHA, the tanning agent, is FDA approved for cosmetic use. I suggest talking with your OB/GYN