Stand Alone Questionnaire & Waiver

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Sunless Pros
Questionnaire & Waiver

Please fill this out to participate in your spray tan.

What town are you from?

Have you sprayed with us before?

What are your desired results?

Are you currently on any thyroid or acne medication?

Are you or could you be pregnant?

How did you hear about us?

Instagram Name- We would love to see your after photos of you all dolled up!

Please make sure all self tanner is off.

Please understand our formula can change at anytime.

Please let us know if you have had a previous sunburn in the past couple months.

PLEASE schedule all beauty appointments 1-2 days before your sunless tan. Mani, pedi, aesthetic procedures, massage and hair appointments.

PLEASE make sure to read the pre and post tan instructions after you submit this form, this will ensure your tan develops properly and will provide you the education to care for it.

I want to subscribe to stay in the loop with CleanGlow (Coupon Codes, Newsletters, Tips & Tricks)

Cancellation Policy- All deposits are non refundable. Under 48 hours and no shows will be charged 100% to the card on file. Reschedules under 48 hours will be charged a $15.00 fee and must be rescheduled within 2 weeks.

We have the right to refuse to spray anyone who is severely intoxicated or under the influence of narcotics and who we think may cause harm to themselves or the technician. You will still be charged if this happens for the inconvenience to us.

I understand I am responsible for any lost or stained items such as clothing, jewelry, furniture or any household items and personal property. I also agree & understand that if anyone gets hurt or falls (myself or anyone that is present or participating with me) I release CleanGlow from any liability and I am the responsible party.

The FDA recommends that you take the following measures to protect against ingestion or inhalation during the sunless session by using: protective eye wear, nose filters, sealing lips with lip balm and protective undergarments.

DHA is considered safe & non toxic by the FDA for external application. I assume full responsibility for any kind of illness , medical condition, allergic reaction or any type of reaction I may have to this formula from the DHA, any ingredients in the solution or any additives added into the solution. I release CleanGlow from any type of medical condition, illness or allergic reaction and understand no refunds will be given.

We enjoy taking photos of tanlines with your consent of course, would you grant us the pemisson to do so and use those photos on our social media and or websites for advertisng purposes? Would you grant us consent to use any professional photos or photos you wouldnt mind sharing for us to showcase our work and would you give us consent to do so?

I declare that the info I’ve provided is accurate & complete.

I give CleanGlow full consent to apply a spray tan application on my skin and anything else this process entails.

If you enjoy your experience, gratuity for our technicians is greatly apprecited!

Date

Your Signature

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MOBILE TANNING:

Spray Tanning Across CT & Westchester NY, we come to your home!

POP UPS

Businesses, Hotels, Salons and more!

SALON SPRAY TANS

Rebecca Esthetics- 316 Main St, Southbury CT.

Suite Space- 123 S Main St, Newtown CT.

Static Beauty Lounge- 248 Oxford Rd, Oxford CT.

STUDIOS SPRAY TANS

We are also spraying out of two professional in-home studios one on the Southbury/Oxford CT town line and one in Bristol CT.

Questions?
Text our Sunless Pros!

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Disclosure: There is no such thing as 100% organic sunless solution due to the DHA not being organic, this is only 8-15% of the product. However, it is derived from sugar cane and beets and is considered safe for external application for use in sunless products. We do spray with the cleanest solutions that we can find on the market that have mostly organic ingredients. The FDA recommends that you take the following measures to protect against ingestion or inhalation during the sunless session by using protective eye wear, nose filters, sealing lips with lip balm and protective undergarments. Mobile Spray Tanning Locations- Norwalk, Weston, Wilton, Stamford, Fairfield, Easton, New Canaan CT.House Call Locations -Southbury Oxford Middlebury Woodbury Roxbury Watertown Bristol Burlington Harwinton Farmington Southington Wolcott Avon West Hartford New Britain Plainville Plymouth Newtown Monroe Ridgefield Norwalk Westport Darien Wilton Redding Weston Fairfield New Canaan Stamford Easton

Sunless Pros Questionnaire & Waiver

Questions? Text our Sunless Pros!

Sunless Pros
Questionnaire & Waiver

Questions?
Text our Sunless Pros!