Tanning, Infrared Light Therapy & Sauna Release Form

CLIENT RELEASE AND INFORMED CONSENT FORM

PLEASE READ THE FOLLOWING INFORMATION AND ACKNOWLEDGE THAT YOU UNDERSTAND AND ACCEPT ALL PROVISIONS BY SIGNING BELOW.

It is our intention to keep you as well informed about Tanning, Infrared & Sauna as possible. This means informing you how to operate the Tanning, Infrared & Sauna equipment. The proper procedure to follow in the room will be clearly explained by a member of our staff. Please feel free to ask any questions.

IF YOU DO NOT DEVELOP A TAN OUTDOORS, YOU ARE UNLIKEY TO TAN- FROM THE USE OF ANY TANNING DEVICE.

  1. AVOID OVEREXPOSURE. As with natural sunlight, overexposure can cause eye and skin injury and allergic reactions. Repeated Overexposure may cause photo aging of the skin, dryness, wrinkling and in some instances skin cancer. We recommend that you do not tan outdoors on days you are tanning indoors, that you do not tan if you currently have a sunburn and that you, at most, tan only once in a 24 hour period.
  2. CERTAIN MEDICATIONS, Lotions and other Products may cause your skin to be more sensitive to UV Rays. Check the posted list of drugs and products known to increase the photosensitivity of the skin. Check with your physician or pharmacist if you are unsure about any medications you are taking or if you have had a problem with indoor or outdoor tanning in the past.
  3. WEAR PROTECTIVE EYEWEAR. Failure to wear protective eyewear may result in severe bums or long-term injury to injuries to the eyes.

I have read the contents of this consent form carefully and state that I am not aware of any medical condition or other reason that would prohibit me from tanning. I understand that I will not be allowed to exceed the maximum allowable time posted on the tanning device. I have been given adequate instructions for the proper use of the tanning equipment, understand the risks involved, and use it at my own risk. I hereby agree to release the owners, operators and manufacturers from any damages that I might incur due to the use of this facility.


Client #numberoptionalno save

First Namerequired
Last Namerequired
Emailrequired
Phone (Digits Only)required

Date: 5/13/2019

Time: 11:52 AM

Client Signaturerequired
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Date: 5/13/2019

Time: 11:52 AM

Witness (Employee) Signatureoptional
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For illiterate or visually handicapped persons, this release form has been read to the user in my presence.

Date: 5/13/2019

Time: 11:52 AM

Witness Signatureoptional
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HEREBY GIVE MY PERMISSION as parent or guardian of [ First Name ] [ Last Name ] who is less than 18 years old, to tan at this tanning facility. I have read and fully understand this Client Release and Informed Consent Form and hereby agree to accept all of the provisions.


Date: 5/13/2019

Time: 11:52 AM

Parent/Legal Guardian Nametextoptionalnot save
Relationshiptextoptionalnot save
Parent/Legal Guardian Signatureoptionalnot save
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By clicking/tapping/touching/selecting or otherwise interacting with the "Submit" button below, you are consenting to signing this Document electronically. You agree your electronic signature ("E-Signature") is the legal equivalent of your manual signature on this Document. You consent to be legally bound by this Document's agreement(s), acknowledgement(s), policy(ies), disclosure(s), consent term(s) and condition(s). You consent to be legally bound by Waiver Master's policies, terms and conditions available at waivermaster.com/terms.html and waivermaster.com/privacy.html . You agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You may request a paper version of an electronic record by writing to us. We reserve the right to charge a reasonable fee for the production and mailing of a paper version of the record. Your current valid email is required for all communications.




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